Ansu Susan Chacko, PT | |
176 Grand St, White Plains, NY 10601-4803 | |
(914) 328-6080 | |
(914) 328-6081 |
Full Name | Ansu Susan Chacko |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 176 Grand St, White Plains, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285994616 | NPI | - | NPPES |
1447657507 | Other | MD | NPI |
463684374 | Other | MD | TAX ID |
4374045-00 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 034937 (New York) | Secondary |
225100000X | Physical Therapist | 25062 (Maryland) | Primary |
Provider Name | Comprehensive Wound Care Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205205176 PECOS PAC ID: 3870897119 Enrollment ID: O20160307000759 |
Mailing Address | Practice Location Address |
---|---|
Ansu Susan Chacko, PT 14014 Marsh Pike, Hagerstown, MD 21742-1638 Ph: (301) 864-2333 | Ansu Susan Chacko, PT 176 Grand St, White Plains, NY 10601-4803 Ph: (914) 328-6080 |
Stella Flemister, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 244 Westchester Ave. #312, White Plains, NY 10604 Phone: 914-948-7400 | |
Lexly Xavier, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Maple Ave, White Plains, NY 10601 Phone: 914-390-0080 | |
Mrs. Lesley S Sevillena, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 311 North St Ste 304, White Plains, NY 10605 Phone: 914-448-4777 Fax: 914-448-4788 | |
Thomas Geevarghese Chacko, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 785 Mamaroneck Ave, White Plains, NY 10605 Phone: 914-597-2500 | |
Mengyao Liu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Mamaroneck Ave Fl 2, White Plains, NY 10605 Phone: 914-948-3893 | |
Sarah Ohiorhenuan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Westchester Park Dr # 325, White Plains, NY 10604 Phone: 914-517-8040 | |
Edmund De Castro Oliveros, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Old Mamaroneck Rd, Apt 4-g, White Plains, NY 10605 Phone: 914-821-7625 |