Mysty Chacko, PA-C is a medicare enrolled "Physician Assistant" physician in Moorestown, New Jersey. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Jefferson University Physicians and her current practice location is
400 W Route 38, Moorestown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 270-4000.
Mysty Chacko is licensed to practice in New Jersey (license number 25MP00866300) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669003745.
Physician's Profile
| Full Name | Mysty Chacko |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 400 W Route 38, Moorestown, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mysty Chacko graduated from medical school in 2019
NPI Data:
- NPI Number: 1669003745
- Provider Enumeration Date: 01/28/2020
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638589989
- Enrollment ID: I20201028000618
Medical Identifiers
Medical identifiers for Mysty Chacko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669003745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | MA061392 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | 25MP00866300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jefferson University Physicians | 7911819180 | 1273 |
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. Mysty Chacko 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 |
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Mysty Chacko, PA-C
1 Federal St Ste 200,
Camden, NJ 08103-1088
Ph: (848) 288-6935 | Mysty Chacko, PA-C
400 W Route 38,
Moorestown, NJ 08057-3219
Ph: (856) 270-4000 |
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