| Mrs Anisha Sara Chacko, NP | |
|
55 2nd Ave Unit 2, Brentwood, NY 11717-4665 | |
| (631) 983-3237 | |
| (631) 961-8775 |
| Full Name | Mrs Anisha Sara Chacko |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 55 2nd Ave Unit 2, Brentwood, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891452959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 347205 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alexios Apazidis Md Pc | 3375840036 | 3 |
| Entity Name | East Shore Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598775645 PECOS PAC ID: 1355443698 Enrollment ID: O20070216000516 |
| Entity Name | Alexios Apazidis Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245607126 PECOS PAC ID: 3375840036 Enrollment ID: O20160323000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Anisha Sara Chacko, NP 72 Fulton Ave, Hempstead, NY 11550-3651 Ph: (516) 559-7880 | Mrs Anisha Sara Chacko, NP 55 2nd Ave Unit 2, Brentwood, NY 11717-4665 Ph: (631) 983-3237 |
Ms. Maryellen Cucuzzo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717 Phone: 631-273-3712 Fax: 631-273-3745 | |
Gina Bogdanowicz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-287-8500 | |
Lynda Lyon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 | |
Mrs. Joann Marie Basile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 Fax: 631-853-7301 | |
Rahul Subramanian Iyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 844-400-1975 | |
Jennifer Vasquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Fairdale Dr, Brentwood, NY 11717 Phone: 631-860-8548 | |
Theretha Gilbert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-2783 |