Suryamol A Chacko, in Baltimore, MD - Medicare Nurse Practitioner

Suryamol A Chacko, is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medstar Medical Group Ii Llc, Medstar Urgent Care Llc and her current practice location is 8605 Rigley's Choice Dr, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (855) 546-2001.

Suryamol A Chacko is licensed to practice in Maryland (license number R168493) 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 1053793927.

Contact Information

	Suryamol A Chacko,
	8605 Rigley's Choice Dr, Baltimore, MD 21236
	(855) 546-2001
	Not Available

Map and Direction

Provider's Profile

Full Name	Suryamol A Chacko
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	8605 Rigley's Choice Dr, Baltimore, Maryland
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:

Suryamol A Chacko graduated from nursing school in 2015

NPI Data:

NPI Number: 1053793927
Provider Enumeration Date: 06/26/2015
Last Update Date: 06/26/2015

Medicare PECOS Information:

PECOS PAC ID: 6002124476
Enrollment ID: I20151005002819

Medical Identifiers

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

Identifier	Type	State	Issuer
1053793927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R168493 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R168493 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Franklin Square Medical Center	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	1790
Medstar Urgent Care Llc	9335303155	252

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. Suryamol A Chacko allows following entities to bill medicare on her behalf.

Entity Name	Medstar Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902175870 PECOS PAC ID: 9335303155 Enrollment ID: O20120607000236

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347

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. Suryamol A 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
Suryamol A Chacko, 9600 Pulaski Park Drive, Suite 103, Medstar Medical Group, C/o Lindsay Smoot, Baltimore, MD 21220 Ph: () -	Suryamol A Chacko, 8605 Rigley's Choice Dr, Baltimore, MD 21236 Ph: (855) 546-2001

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Suryamol A Chacko, - Medicare Nurse Practitioner in Baltimore, MD