Dr Manju Marin Chacko, CCC - SLP is a medicare enrolled "Speech-language Pathologist" provider in American Canyon, California. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is
227 Reliant Way, American Canyon, California. You can reach out to her office (for appointments etc.) via phone at
(626) 321-7296.
Dr Manju Marin Chacko is licensed to practice in California (license number 17280) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1881969673.
Healthcare Provider's Profile
| Full Name | Dr Manju Marin Chacko |
|---|
| Gender | Female |
|---|
| Speciality | Qualified Speech Language Pathologist |
|---|
| Experience | 4 Years |
|---|
| Location | 227 Reliant Way, American Canyon, California |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Manju Marin Chacko graduated from medical school in 2022
NPI Data:
- NPI Number: 1881969673
- Provider Enumeration Date: 03/13/2012
- Last Update Date: 05/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 4486126570
- Enrollment ID: I20260619001242
Medical Identifiers
Medical identifiers for Dr Manju Marin Chacko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881969673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 17280 (California) | Primary |
| 235Z00000X | Speech-language Pathologist | 103308 (Texas) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Manju Marin Chacko allows following entities to bill medicare on her behalf.
| Provider Name | Permanente Medical Group Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
|---|
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. Dr Manju Marin Chacko 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 |
|---|
Dr Manju Marin Chacko, CCC - SLP
227 Reliant Way,
American Canyon, CA 94503-3236
Ph: (626) 321-7296 | Dr Manju Marin Chacko, CCC - SLP
227 Reliant Way,
American Canyon, CA 94503-3236
Ph: (626) 321-7296 |
Reviews and Comments