Nicole Jade Kobak-birk, PA-C - Medicare Physician Assistant in Berea, OH

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.

Contact Information

Nicole Jade Kobak-birk, PA-C
275 Eastland Rd,
Berea, OH 44017-2005
(440) 826-2221
Not Available



Physician's Profile

Full NameNicole Jade Kobak-birk
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location275 Eastland Rd, Berea, Ohio
Accepts Medicare AssignmentsYes. 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 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.
IdentifierTypeStateIssuer
1609460906NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 50.007025RX (Ohio)Secondary
363A00000XPhysician Assistant 50.007025RX (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Hospitals Portage Medical CenterRavenna, OHHospital
University Hospitals Of ClevelandCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Hospitals Medical Group Inc47896824931466

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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 AddressPractice 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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