| Mrs Daizen Joseph- Chacko, NP | |
|
44201 Dequindre Rd, Troy, MI 48085-1117 | |
| (248) 964-8912 | |
| Not Available |
| Full Name | Mrs Daizen Joseph- Chacko |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447628813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704185276 (Michigan) | Primary |
| Entity Name | Ascension Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952440521 PECOS PAC ID: 7911808381 Enrollment ID: O20040617000651 |
| Entity Name | Independent Observation Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Daizen Joseph- Chacko, NP 130 Town Center Dr, 203, Troy, MI 48084-1744 Ph: (248) 585-8250 | Mrs Daizen Joseph- Chacko, NP 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-8912 |
Jason Roberts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Kirts Blvd Ste 200, Troy, MI 48084 Phone: 248-824-6500 | |
Melissa Baker, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5440 Corporate Dr, Troy, MI 48098 Phone: 866-902-5854 | |
Dr. Martha M Sturgeon, DNP ACNS-BC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6963 Killarney Dr, Troy, MI 48098 Phone: 248-879-2871 | |
Kristen M Light, DNP, RN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Mrs. Kimberly Anne Fox, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2041 E Square Lake Rd Ste 300, Troy, MI 48085 Phone: 248-813-0124 Fax: 248-879-0148 | |
Ellen Tan, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3290 W Big Beaver Rd Ste 150, Troy, MI 48084 Phone: 248-792-6527 | |
Mrs. Bernadette Sarah Below, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2095 E Big Beaver Rd Ste 375, Troy, MI 48083 Phone: 248-705-6223 Fax: 248-253-1462 |