Serena M Chacko, MD in Grand Rapids, MI - Medicare Diagnostic Radiology

Serena M Chacko, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. She went to Saint Louis University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Diagnostic Radiology And Imaging Llc, Wake Forest Health Network Llc, Greensboro Radiology Pa and her current practice location is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 363-7272.

Serena M Chacko is licensed to practice in Michigan (license number 4301511806) 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 1184987521.

Contact Information

	Serena M Chacko, MD
	3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746
	(616) 363-7272
	(616) 361-5828

Map and Direction

Physician's Profile

Full Name	Serena M Chacko
Gender	Female
Speciality	Diagnostic Radiology
Experience	12 Years
Location	3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Serena M Chacko attended and graduated from Saint Louis University School Of Medicine in 2012

NPI Data:

NPI Number: 1184987521
Provider Enumeration Date: 06/20/2012
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8426296161
Enrollment ID: I20180703001704

Medical Identifiers

Medical identifiers for Serena M Chacko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184987521	NPI	-	NPPES
1184987521	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2018-00738 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	4301511806 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alamance Regional Medical Center	Burlington, NC	Hospital
Randolph Hospital	Asheboro, NC	Hospital
Moses H. Cone Memorial Hospital, The	Greensboro, NC	Hospital
Person Memorial Hospital	Roxboro, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Diagnostic Radiology And Imaging Llc	4183517097	98
Wake Forest Health Network Llc	4183538895	265
Greensboro Radiology Pa	8729074901	218

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. Serena M Chacko allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868

Entity Name	Diagnostic Radiology & Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265469795 PECOS PAC ID: 4183517097 Enrollment ID: O20040204001013

Entity Name	Greensboro Radiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214

Entity Name	Imrad Of Virginia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457816522 PECOS PAC ID: 2860726981 Enrollment ID: O20200928003184

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. Serena M 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
Serena M Chacko, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272	Serena M Chacko, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7272

Reviews and Comments

Radiology Doctors in Grand Rapids, MI

Dr. Jon R Henke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290
Geoffrey M. Remes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828
Jan L Mourelatos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828
Dr. Brendan Michael Banyon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272
Dr. Joseph J Junewick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290
Keith Alan Morrow, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828
Dr. Andrew Kent Moriarity, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339

Serena M Chacko, MD - Medicare Diagnostic Radiology in Grand Rapids, MI