Dr Abraham Chacko Jr, MD is a medicare enrolled "Emergency Medicine" physician in Spring Valley, New York. His current practice location is
7 Hawk St, Spring Valley, New York. You can reach out to his office (for appointments etc.) via phone at
(917) 319-1008.
Dr Abraham Chacko Jr is licensed to practice in New York (license number 251235 DUP) 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 1063648145.
Physician's Profile
Full Name | Dr Abraham Chacko Jr |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 7 Hawk St, Spring Valley, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063648145
- Provider Enumeration Date: 06/03/2009
- Last Update Date: 06/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 8123165511
- Enrollment ID: I20091016000002
Medical Identifiers
Medical identifiers for Dr Abraham Chacko Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063648145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 251235 DUP (New York) | 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. Dr Abraham Chacko Jr allows following entities to bill medicare on his behalf.
Entity Name | Downtown Bronx Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
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Entity Name | Harlem Medical Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005 |
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Entity Name | Physician Affiliate Group Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
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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. Dr Abraham Chacko Jr 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 |
Dr Abraham Chacko Jr, MD 7 Hawk St, Spring Valley, NY 10977-6105 Ph: (917) 319-1008 | Dr Abraham Chacko Jr, MD 7 Hawk St, Spring Valley, NY 10977-6105 Ph: (917) 319-1008 |
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