Individual
DR. MARY THERESA CHASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10810 CONNECTICUT AVE, KAISER PERMANENTE KENSINGTON MEDICAL CENTER, KENSINGTON, MD 20895-2138
(301) 929-7100
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101250932
VA
207L00000X
Anesthesiology Physician
Primary
D73405
MD
207L00000X
Anesthesiology Physician
MD040259
DC
207L00000X
Anesthesiology Physician
MD431249
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD431249
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002056193
HIGHMARK BLUE SHIELD
PA
01
—
050514
MEDICARE GROUP PIN
PA
05
—
102165970 0001
—
PA
01
—
120420418
DEPT OF LABOR
PA
01
—
1569261
GATEWAY (AFC)
PA
01
—
1581407
GATEWAY (PMFC)
PA
01
—
1885935
AETNA HMO (AFC)
PA
01
—
2183091
MAMSI
PA
01
—
245630
UNISON (AFC)
PA
01
—
25-1716306
MULTIPLAN/PHCS
PA
01
—
259792
UNISON (PMFC)
PA
01
—
50078618
CAPITAL BLUECROSS
PA
01
—
6802733
AETNA HMO (PMFC)
PA
01
—
9695183
AETNA NON-HMO
PA
01
—
G920-0096/85XWCU
CAREFIRST (AFC)
PA
01
—
G920-0096/914765-04
CAREFIRST (PMFC)
PA
01
—
MD431249
MEDICAL LICENSE
PA
01
—
P00618655
RAILROAD MEDICARE
PA
01
—
PEARL
HEALTH AMERICA
PA
Enumeration date
05/10/2007
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us