Jessalyn Nishimori, MD in Springfield, PA

Jessalyn Nishimori, MD is a medicare enrolled "Family Medicine" physician in Springfield, Pennsylvania. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1260 E Woodland Ave, Suite 200, Springfield, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 690-4490.

Jessalyn Nishimori is licensed to practice in Pennsylvania (license number MD464199) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487033957.

Contact Information

	Jessalyn Nishimori, MD
	1260 E Woodland Ave, Suite 200, Springfield, PA 19064
	(610) 690-4490
	(610) 328-9391

Map and Direction

Physician's Profile

Full Name	Jessalyn Nishimori
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	1260 E Woodland Ave, Springfield, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessalyn Nishimori graduated from medical school in 2015

NPI Data:

NPI Number: 1487033957
Provider Enumeration Date: 05/29/2015
Last Update Date: 06/25/2018

Medicare PECOS Information:

PECOS PAC ID: 8224384334
Enrollment ID: I20240227002898

Medical Identifiers

Medical identifiers for Jessalyn Nishimori such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487033957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD464199 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Jessalyn Nishimori allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Jessalyn Nishimori 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
Jessalyn Nishimori, MD Po Box 8500-6355, Philadelphia, PA 19178-0001 Ph: (610) 497-7520	Jessalyn Nishimori, MD 1260 E Woodland Ave, Suite 200, Springfield, PA 19064 Ph: (610) 690-4490

Reviews and Comments

Family Medicine Doctors in Springfield, PA

Dr. Nimshavathani Thaver, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1260 E Woodland Ave, Suite 200, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Letitia Ann O'kicki, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E Woodland Ave, Suite 200, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Nicole Ferraro, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1260 E Woodland Ave Ste 200, Springfield, PA 19064 Phone: 610-690-4900
Larisa Cheipesh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 965 Baltimore Pike, Suite 2b, Springfield, PA 19064 Phone: 484-573-5116 Fax: 484-573-5122
Dr. Sarah Morchen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E Woodland Ave, Suite 200, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Dr. William J Warning Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1260 E Woodland Ave, Springfield, PA 19064 Phone: 610-690-4490 Fax: 610-328-9391
Dr. Robyn Mia Shor-conroy, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 W Sproul Road, Suite 120, Springfield, PA 19064 Phone: 610-338-1800 Fax: 610-338-1809

Jessalyn Nishimori, MD - Medicare Family Practice in Springfield, PA