Lisa Renee Chacko, MD, MPH - Medicare Family Medicine in Gainesville, FL

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Lisa Renee Chacko, MD, MPH is a medicare enrolled "Family Medicine" physician in Gainesville, Florida. Her current practice location is 1707 N Main St, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 265-9593.

Lisa Renee Chacko is licensed to practice in Florida (license number ME128039) 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 1104264654.

Contact Information

Lisa Renee Chacko, MD, MPH
1707 N Main St,
Gainesville, FL 32609-3650
(352) 265-9593
Not Available

Map and Direction




Physician's Profile

Full NameLisa Renee Chacko
GenderFemale
SpecialityFamily Medicine
Location1707 N Main St, Gainesville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104264654
  • Provider Enumeration Date: 06/06/2013
  • Last Update Date: 02/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830327402
  • Enrollment ID: I20160921001184

Medical Identifiers

Medical identifiers for Lisa Renee Chacko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104264654NPI-NPPES
018346000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME128039 (Florida)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. Lisa Renee Chacko allows following entities to bill medicare on her behalf.
Entity NameFlorida Clinical Practice Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099
Entity NameTrenton Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801826268
PECOS PAC ID: 2365359387
Enrollment ID: O20050428000865

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. Lisa Renee 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
Lisa Renee Chacko, MD, MPH
1600 Sw Archer Rd, Box 100383,
Gainesville, FL 32610-0383

Ph: (352) 392-4541		Lisa Renee Chacko, MD, MPH
1707 N Main St,
Gainesville, FL 32609-3650

Ph: (352) 265-9593

Reviews and Comments


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Dr. Samuel Tringali, DO
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Brian Xavier Contreras, MD
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Barbara Durden,
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Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-392-4541    
Dr. Kiona R Subramanian, MD
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Medicare: Medicare Enrolled
Practice Location: 6228 Nw 43rd St, Suite B, Gainesville, FL 32653
Phone: 352-332-6680    Fax: 352-332-6604

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.