Mr Jerrin Chacko, PMHNP in Richmond Hill, NY - Medicare Nurse Practitioner

Mr Jerrin Chacko, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Richmond Hill, New York. His current practice location is 8900 Van Wyck Expy, Richmond Hill, New York. You can reach out to his office (for appointments etc.) via phone at (718) 206-6000.

Mr Jerrin Chacko is licensed to practice in New York (license number 403669) 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 1104593169.

Contact Information

	Mr Jerrin Chacko, PMHNP
	8900 Van Wyck Expy, Richmond Hill, NY 11418-2832
	(718) 206-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jerrin Chacko
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8900 Van Wyck Expy, Richmond Hill, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104593169
Provider Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021

Medicare PECOS Information:

PECOS PAC ID: 7618359894
Enrollment ID: I20220804001402

Medical Identifiers

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

Identifier	Type	State	Issuer
1104593169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403669 (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. Mr Jerrin Chacko allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Mr Jerrin 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
Mr Jerrin Chacko, PMHNP 8624 Musket St, Queens Village, NY 11427-2718 Ph: () -	Mr Jerrin Chacko, PMHNP 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 Ph: (718) 206-6000

Reviews and Comments

Nurse Practitioner Nurses in Richmond Hill, NY

Suzanne Jolly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
Angela Nalini Persaud, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8540 111th St, Richmond Hill, NY 11418 Phone: 718-687-7525
Shikeena Murrille, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
Ms. Cheryl A Mackey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9007 104th St, Richmond Hill, NY 11418 Phone: 917-494-9340
Mira Inoyatov, RN, FNP, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000
Michael Salzillo, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000

Mr Jerrin Chacko, PMHNP - Medicare Nurse Practitioner in Richmond Hill, NY