Chacko I Nebu (NPI# 1538439559, PAC ID# 4082869151) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1538439559 |
| PAC ID by PECOS | 4082869151 |
| Professional Enrollment ID | I20130222000166 |
| Full Name | Chacko I Nebu |
| Address |
7025 Oleander Ave Port St Lucie FL 34952-9028 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100130 | LAKESIDE MEDICAL CENTER |
| 100269 | PALMS WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7025 Oleander Ave, Port St Lucie, FL 34952-9028 |
| Street Address |
7025 OLEANDER AVE |
| City | PORT ST LUCIE |
| State | FL |
| Zip | 34952-9028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudia Patricia Santamaria | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Heather L Hackney | Qualified Audiologist | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Cynthia J Rogers | Dermatology | 8503 S Us, Suite 1, Port St Lucie, FL 34952 | |
| Anthony Glenn Rogers | Anesthesiology | Port St Lucie Pain Management Pllc | 8235s Us Hwy 1, Port St Lucie, FL 34952 |
| Diane Leigh Pugh | Family Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| James L Autin | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Carolyn A Rawdon | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Kenneth Weiss | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Ravi Mehan | Internal Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Glynnis Jayne Lyons | General Practice | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Find all physicians in zip 34952 | |||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PORT ST LUCIE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Chacko I Nebu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.