Mini Chacko, NNP in Livingston, NJ - Medicare Nurse Practitioner

Mini Chacko, NNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Livingston, New Jersey. Her current practice location is 94 Old Short Hills Rd, Livingston, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 322-5000.

Mini Chacko is licensed to practice in New Jersey (license number 26NJ00655400) 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 1467908517.

Contact Information

	Mini Chacko, NNP
	94 Old Short Hills Rd, Livingston, NJ 07039-5672
	(973) 322-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mini Chacko
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	94 Old Short Hills Rd, Livingston, 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: 1467908517
Provider Enumeration Date: 08/29/2016
Last Update Date: 08/29/2016

Medicare PECOS Information:

PECOS PAC ID: 0042597072
Enrollment ID: I20170501000751

Medical Identifiers

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

Identifier	Type	State	Issuer
1467908517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	26NJ00655400 (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. Mini Chacko allows following entities to bill medicare on her behalf.

Entity Name	Nicu Associates At Saint Barnabas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992753115 PECOS PAC ID: 9931166055 Enrollment ID: O20041210000130

Entity Name	Barnabas Health Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951

Entity Name	Sbmc Provider Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942748983 PECOS PAC ID: 8729344569 Enrollment ID: O20171109003416

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. Mini 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
Mini Chacko, NNP 8 Edgemere Rd, Livingston, NJ 07039-2807 Ph: (973) 992-5247	Mini Chacko, NNP 94 Old Short Hills Rd, Livingston, NJ 07039-5672 Ph: (973) 322-5000

Reviews and Comments

Nurse Practitioner Nurses in Livingston, NJ

Cassidy Martin, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-2793
Suzanne M Hess, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 349 E Northfield Rd, Suite 200, Livingston, NJ 07039 Phone: 973-597-0900 Fax: 973-597-0910
Stephanie Rodriguez Wollman, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-6450
Mrs. Stephanie Nicole Rotoli, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5519
Ms. Karen Rae Vanvarick-mcguire, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-2152 Fax: 973-322-8843
Marlene Roberts, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000
Gladiette Nkiru, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Regent St, Suite 517, Livingston, NJ 07039 Phone: 973-994-1011 Fax: 973-994-1220

Mini Chacko, NNP - Medicare Nurse Practitioner in Livingston, NJ