Nicole Jade Kobak-birk, PA-C is a medicare enrolled "Physician Assistant" physician in Berea, Ohio. Her current practice location is
275 Eastland Rd, Berea, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 826-2221.
Nicole Jade Kobak-birk is licensed to practice in Ohio (license number 50.007025RX) 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 1609460906.
Physician's Profile
Full Name | Nicole Jade Kobak-birk |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 275 Eastland Rd, Berea, Ohio |
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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:
- Nicole Jade Kobak-birk attended and graduated from in
NPI Data:
- NPI Number: 1609460906
- Provider Enumeration Date: 02/26/2021
- Last Update Date: 07/13/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Jade Kobak-birk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609460906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 50.007025RX (Ohio) | Secondary |
363A00000X | Physician Assistant | 50.007025RX (Ohio) | Primary |
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. Nicole Jade Kobak-birk 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 |
Nicole Jade Kobak-birk, PA-C 6847 N Chestnut St, Ravenna, OH 44266-3929 Ph: () - | Nicole Jade Kobak-birk, PA-C 275 Eastland Rd, Berea, OH 44017-2005 Ph: (440) 826-2221 |
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