Malyssa Emily Chanthasoto, PA-C is a medicare enrolled "Physician Assistant" physician in Rocky Hill, Connecticut. Her current practice location is
1111 Cromwell Ave Ste 404, Rocky Hill, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 525-4469.
Malyssa Emily Chanthasoto is licensed to practice in Connecticut (license number 5241) 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 1487222188.
Physician's Profile
| Full Name | Malyssa Emily Chanthasoto |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1111 Cromwell Ave Ste 404, Rocky Hill, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Malyssa Emily Chanthasoto attended and graduated from in
NPI Data:
- NPI Number: 1487222188
- Provider Enumeration Date: 06/17/2021
- Last Update Date: 07/18/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Malyssa Emily Chanthasoto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487222188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 0010-15498 (North Carolina) | Secondary |
| 208600000X | Surgery | 0010-15498 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 5241 (Connecticut) | Primary |
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. Malyssa Emily Chanthasoto 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 |
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Malyssa Emily Chanthasoto, PA-C
1111 Cromwell Ave Ste 404,
Rocky Hill, CT 06067-3455
Ph: (551) 427-7163 | Malyssa Emily Chanthasoto, PA-C
1111 Cromwell Ave Ste 404,
Rocky Hill, CT 06067-3455
Ph: (860) 525-4469 |
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