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

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 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



Provider's Profile

Full NameSuryamol A Chacko
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location8605 Rigley's Choice Dr, Baltimore, Maryland
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1053793927NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R168493 (Maryland)Secondary
363LF0000XNurse Practitioner - Family R168493 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstar Urgent Care Llc9335303155252

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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 NameMedstar Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902175870
PECOS PAC ID: 9335303155
Enrollment ID: O20120607000236

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Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347

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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 AddressPractice 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

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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    
Christina Fang, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1838 Greene Tree Rd, Suite 400, Baltimore, MD 21208
Phone: 410-602-7782    Fax: 410-602-2438
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    
Andrew Brave, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215
Phone: 410-601-9000    
Maria Marcela Montenegro, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16 S Eutaw St Fl 1, Baltimore, MD 21201
Phone: 410-328-5408    Fax: 410-328-1909

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