Mark Robert Zonfrillo, MD in Providence, RI

Mark Robert Zonfrillo, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Providence, Rhode Island. His current practice location is 593 Eddy St, Claverick 2, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4000.

Mark Robert Zonfrillo is licensed to practice in Rhode Island (license number MD14967) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235180852.

Contact Information

	Mark Robert Zonfrillo, MD
	593 Eddy St, Claverick 2, Providence, RI 02903-4923
	(401) 444-4000
	(401) 427-7795

Map and Direction

Physician's Profile

Full Name	Mark Robert Zonfrillo
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235180852
Provider Enumeration Date: 05/16/2006
Last Update Date: 08/22/2018

Medicare PECOS Information:

PECOS PAC ID: 7214948470
Enrollment ID: I20150625000486

Medical Identifiers

Medical identifiers for Mark Robert Zonfrillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235180852	NPI	-	NPPES
1235180852	Medicaid	RI
110102928A	Medicaid	MA
U400222345	Other	RI	MEDICAR-NGS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	MD14967 (Rhode Island)	Secondary
208000000X	Pediatrics	043923 (Connecticut)	Secondary
208000000X	Pediatrics	MD430976 (Pennsylvania)	Secondary
208000000X	Pediatrics	MD14967 (Rhode Island)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	MD14967 (Rhode Island)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Robert Zonfrillo allows following entities to bill medicare on his behalf.

Entity Name	Brown Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Robert Zonfrillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mark Robert Zonfrillo, MD 125 Whipple St, 3rd Floor, Providence, RI 02908-3258 Ph: (401) 854-2504	Mark Robert Zonfrillo, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 444-4000

Reviews and Comments

Pediatrics Doctors in Providence, RI

Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804

Mark Robert Zonfrillo, MD - Medicare Pediatrics in Providence, RI