Sophia Rachel Chacko, RN, CPRN in Philadelphia, PA

Sophia Rachel Chacko, RN, CPRN is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 925 Chestnut St, 5th Floor, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (267) 339-3500.

Sophia Rachel Chacko is licensed to practice in Pennsylvania (license number SP014506) 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 1922497361.

Contact Information

	Sophia Rachel Chacko, RN, CPRN
	925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216
	(267) 339-3500
	(215) 503-0580

Map and Direction

Provider's Profile

Full Name	Sophia Rachel Chacko
Gender	Female
Speciality	Nurse Practitioner - Family
Location	925 Chestnut St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922497361
Provider Enumeration Date: 01/22/2015
Last Update Date: 02/20/2018

Medicare PECOS Information:

PECOS PAC ID: 4082927348
Enrollment ID: I20150716001326

Medical Identifiers

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

Identifier	Type	State	Issuer
1922497361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR17168500 (New Jersey)	Secondary
163W00000X	Registered Nurse	RN650774 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP014506 (Pennsylvania)	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. Sophia Rachel Chacko allows following entities to bill medicare on her behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

Entity Name	Reconstructive Orthopaedic Associates Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861433278 PECOS PAC ID: 7416845318 Enrollment ID: O20040310000667

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. Sophia Rachel 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
Sophia Rachel Chacko, RN, CPRN 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 Ph: (267) 339-3500	Sophia Rachel Chacko, RN, CPRN 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 Ph: (267) 339-3500

Reviews and Comments

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Sophia Rachel Chacko, RN, CPRN - Medicare Nurse Practitioner in Philadelphia, PA