| Mysty Chacko, PA-C | |
|
400 W Route 38, Moorestown, NJ 08057-3219 | |
| (856) 270-4000 | |
| Not Available |
| Full Name | Mysty Chacko |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 400 W Route 38, Moorestown, New Jersey |
| 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 |
|---|---|---|---|
| 1669003745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00866300 (New Jersey) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | MA061392 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cooper University Hospital | Camden, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cmc Department Of Medicine Group Pa | 2163335878 | 474 |
| Entity Name | Cmc Department of Medicine Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609908094 PECOS PAC ID: 2163335878 Enrollment ID: O20050104000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mysty Chacko, PA-C 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Mysty Chacko, PA-C 400 W Route 38, Moorestown, NJ 08057-3219 Ph: (856) 270-4000 |
Mr. Matthew David Poli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Route 38 Ste A, Moorestown, NJ 08057 Phone: 609-267-9400 Fax: 609-234-3921 |
Baylee Summers, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 W Route 38 Fl 1, Moorestown, NJ 08057 Phone: 856-608-8840 |
Kristen Lehmann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Route 38 Ste A, Moorestown, NJ 08057 Phone: 609-267-9400 Fax: 856-234-3921 |
Mrs. Laura Amanda Pino, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 147 E 3rd St, Suite 2, Moorestown, NJ 08057 Phone: 856-234-2500 Fax: 856-234-3907 |
Lucretia S Romero, MS-PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1217 N Church St, Moorestown, NJ 08057 Phone: 856-234-2828 Fax: 856-235-8931 |
Mark Theodore Layton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Route 38 Ste A, Moorestown, NJ 08057 Phone: 609-267-9400 Fax: 856-234-3921 |
Jayme N White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 West Route 38, Suite A, Moorestown, NJ 08057 Phone: 856-673-3960 |