| Mr Jerrin Chacko, PMHNP | |
|
8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 | |
| (718) 206-6000 | |
| Not Available |
| Full Name | Mr Jerrin Chacko |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 8900 Van Wyck Expy, Richmond Hill, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104593169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403669 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerrin Chacko, PMHNP 8624 Musket St, Queens Village, NY 11427-2718 Ph: Not Available | Mr Jerrin Chacko, PMHNP 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 Ph: (718) 206-6000 |
Mma Shukur, MSN, FNP-C, BSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11311 Jamaica Ave, Richmond Hill, NY 11418 Phone: 718-850-0009 |
Suzanne Jolly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000 |
Angela Nalini Persaud, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8540 111th St, Richmond Hill, NY 11418 Phone: 718-687-7525 |
Mrs. Olubukola Elizabeth Ajayi, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11606 Myrtle Ave, Richmond Hill, NY 11418 Phone: 718-850-7099 |
Gabriel O Akinyemi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13621 Hillside Ave Ste M11, Richmond Hill, NY 11418 Phone: 929-415-9781 |
Montrace Alves-richard, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000 |
Shikeena Murrille, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Richmond Hill, NY 11418 Phone: 718-206-6000 |