Nicole Jade Kobak-birk, PA-C is a medicare enrolled "Physician Assistant" physician in Berea, Ohio. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Hospitals Medical Group Inc and 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 | Physician Assistant |
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| Experience | 3 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. |
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Medical Education and Training:
- Nicole Jade Kobak-birk graduated from medical school in 2021
NPI Data:
- NPI Number: 1609460906
- Provider Enumeration Date: 02/26/2021
- Last Update Date: 07/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436551181
- Enrollment ID: I20210716002575
Medical Identifiers
Medical identifiers for Nicole Jade Kobak-birk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609460906 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 50.007025RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.007025RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Hospitals Medical Group Inc | 4789682493 | 1542 |
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 |
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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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