Nisha K Patel, PA-C is a medicare enrolled "Physician Assistant" physician in Chicago, Illinois. Her current practice location is
2077 N Clybourn Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 886-1500.
Nisha K Patel is licensed to practice in Illinois (license number 085004302) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891020913.
Physician's Profile
Full Name | Nisha K Patel |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2077 N Clybourn Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891020913
- Provider Enumeration Date: 10/07/2009
- Last Update Date: 01/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789724113
- Enrollment ID: I20121003000406
Medical Identifiers
Medical identifiers for Nisha K Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891020913 | NPI | - | NPPES |
1516453 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA1777 (Tennessee) | Secondary |
363A00000X | Physician Assistant | PA1777 (Tennessee) | Secondary |
363A00000X | Physician Assistant | 085004302 (Illinois) | 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. Nisha K Patel 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 |
Nisha K Patel, PA-C 9701 W Higgins Rd Ste 270, Rosemont, IL 60018-4703 Ph: () - | Nisha K Patel, PA-C 2077 N Clybourn Ave, Chicago, IL 60614-4003 Ph: (773) 886-1500 |
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