Rebecca F Nishimoto, PA-C is a medicare enrolled "Physician Assistant" physician in Highland Park, Illinois. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
777 Park Ave W, Highland Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 926-5844.
Rebecca F Nishimoto is licensed to practice in Illinois (license number 085002085) 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 1073624664.
Physician's Profile
Full Name | Rebecca F Nishimoto |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 21 Years |
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Location | 777 Park Ave W, Highland Park, Illinois |
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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:
- Rebecca F Nishimoto graduated from medical school in 2003
NPI Data:
- NPI Number: 1073624664
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113828500
- Enrollment ID: I20040119000249
Medical Identifiers
Medical identifiers for Rebecca F Nishimoto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073624664 | NPI | - | NPPES |
P00417652 | Other | | RAILROAD MCR |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 085002085 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085002085 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Endeavor Health Medical Group | 2163334699 | 2710 |
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. Rebecca F Nishimoto 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 |
Rebecca F Nishimoto, PA-C 7200 N Ridge Blvd, Unit 4h, Chicago, IL 60645-2056 Ph: (773) 499-8180 | Rebecca F Nishimoto, PA-C 777 Park Ave W, Highland Park, IL 60035-2433 Ph: (847) 926-5844 |
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