Marconi Chu-chu Sackor, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clayton, New Jersey. Her current practice location is
713 S Broad St, Clayton, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(443) 740-1672.
Marconi Chu-chu Sackor is licensed to practice in New Jersey (license number 26NJ01407100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629781000.
Provider's Profile
Full Name | Marconi Chu-chu Sackor |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 713 S Broad St, Clayton, New Jersey |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629781000
- Provider Enumeration Date: 01/02/2023
- Last Update Date: 01/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375990625
- Enrollment ID: I20231108003441
Medical Identifiers
Medical identifiers for Marconi Chu-chu Sackor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629781000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01407100 (New Jersey) | 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. Marconi Chu-chu Sackor allows following entities to bill medicare on her behalf.
Entity Name | State Of New Jersey Omb Centralized Payroll |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1629155502 PECOS PAC ID: 6406742592 Enrollment ID: O20040225000797 |
---|
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. Marconi Chu-chu Sackor 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 |
Marconi Chu-chu Sackor, 713 S Broad St, Clayton, NJ 08312-2131 Ph: (443) 740-1672 | Marconi Chu-chu Sackor, 713 S Broad St, Clayton, NJ 08312-2131 Ph: (443) 740-1672 |
Reviews and Comments