Nimmy Tom, MSN, APN, FNP-BC in Chicago Ridge, IL

Nimmy Tom, MSN, APN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chicago Ridge, Illinois. Her current practice location is 10602 Southwest Hwy, Chicago Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 715-1424.

Nimmy Tom is licensed to practice in Illinois (license number 209.027236) 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 1457031379.

Contact Information

	Nimmy Tom, MSN, APN, FNP-BC
	10602 Southwest Hwy, Chicago Ridge, IL 60415-1429
	(224) 715-1424
	Not Available

Map and Direction

Provider's Profile

Full Name	Nimmy Tom
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10602 Southwest Hwy, Chicago Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457031379
Provider Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7416319249
Enrollment ID: I20230810003959

Medical Identifiers

Medical identifiers for Nimmy Tom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457031379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.027236 (Illinois)	Primary

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. Nimmy Tom allows following entities to bill medicare on her behalf.

Entity Name	Paragon Clinical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20070515000051

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. Nimmy Tom 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
Nimmy Tom, MSN, APN, FNP-BC 16632 Windsor Ct, Lemont, IL 60439-4636 Ph: (224) 715-1424	Nimmy Tom, MSN, APN, FNP-BC 10602 Southwest Hwy, Chicago Ridge, IL 60415-1429 Ph: (224) 715-1424

Reviews and Comments

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Ms. Lilly H Park, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy Ste 200, Chicago Ridge, IL 60415 Phone: 708-424-9710
Charmaine Pelayo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10604 Southwest Hwy, Chicago Ridge, IL 60415 Phone: 708-422-0636

Nimmy Tom, MSN, APN, FNP-BC - Medicare Nurse Practitioner in Chicago Ridge, IL