Mark Robert Zonfrillo, MD - Medicare Pediatrics 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



Physician's Profile

Full NameMark Robert Zonfrillo
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1235180852NPI-NPPES
1235180852MedicaidRI
110102928AMedicaidMA
U400222345OtherRIMEDICAR-NGS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine MD14967 (Rhode Island)Secondary
208000000XPediatrics 043923 (Connecticut)Secondary
208000000XPediatrics MD430976 (Pennsylvania)Secondary
208000000XPediatrics MD14967 (Rhode Island)Secondary
2080P0204XPediatrics - 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 NameBrown Emergency Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962455022
PECOS PAC ID: 7214833169
Enrollment ID: O20040116000868

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Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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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 AddressPractice 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

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› Verified 8 days ago


Pediatrics Doctors in Providence, RI

Evianna Cruz Herrera, MD/MPH
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903
Phone: 401-444-4471    
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

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