Mona Chacko, MD, Megan Cusack, FNP  










Appointments

Please call (972) 712-1911 to schedule an appointment. We require 24 hour notice if you are unable to keep your appointment.

On your first visit to our office, you will be asked to complete a patient information form which will be a part of your permanent record to be kept on file at our office. We have provided you the registration forms in Adobe PDF format. You may print them out and bring them completed to speed up your registration process.

Patient Registration
New Patient Record
Pediatric Questionnaire
Financial Policy
HIPAA Notice of Privacy Policy

Fees and Insurance

Payment is expected at the time of service, including but not limited to co-payment, co-insurance, deductible and non covered services. We participate with most major insurance plans and will file your insurance claims for you. Always bring your insurance card with you at the time of your visit. If you have any questions regarding our services or fees please ask us so that we may keep you informed.

Payment options available include:
Cash or Check
Credit Cards - Visa, MasterCard and Discover

Insurances we paticipate with:

Accountable PPO National Healthcare Alliance PPO
Admar PPO National Preferred Provider Network PPO
Aetna North Texas Healthcare Network (NTHN) PPO/EPO/POS
Affiliated PPO One Health Plano HMO/PPO
Beech Street/Capp Care PPO PacifiCare HMO
Blue Cross Blue Shield (BCBS) HMO/PPO Plano ISD PPO
Carrollton Farmers Branch PPO Private Healthcare Systems (PHCS) PPO
Cigna PPO/EPO ProAmerica PPO
City of Carrollton PPO ProNet PPO
Federal Reserve Bank of Dallas PPO Teachers Retirement System (TRS) PPO
Galaxy Healthcare PPO Texas True Choice
HealthSmart PPO UniCare Classic PPO
Integrated Medical Systems PPO United healthcare HMO/PPO/POS
Lewisville ISD PPO USA Managed Care PPO
Medical Control (PPO Next) PPO USC Health Services PPO
Multiplan PPO --
*If your insurance is not on the list, please give us a call and we will be glad to help.
Stonebrook Family Medicine 2009