Rob Wimmer, PA - Medicare Physician Assistant in Peoria, IL

Rob Wimmer, PA is a medicare enrolled "Physician Assistant - Surgical" in Peoria, Illinois. His current practice location is 7309 N Knoxville Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 692-9898.

Rob Wimmer is licensed to practice in Illinois (license number 085000410) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013972512.

Contact Information

Rob Wimmer, PA
7309 N Knoxville Ave,
Peoria, IL 61614-2085
(309) 692-9898
Not Available



Provider's Profile

Full NameRob Wimmer
GenderMale
SpecialityPhysician Assistant - Surgical
Location7309 N Knoxville Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013972512
  • Provider Enumeration Date: 04/18/2006
  • Last Update Date: 01/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0042250524
  • Enrollment ID: I20050504000209

Medical Identifiers

Medical identifiers for Rob Wimmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013972512NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 085000410 (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. Rob Wimmer 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
Rob Wimmer, PA
7309 N Knoxville Ave,
Peoria, IL 61614-2085

Ph: (309) 692-9898
Rob Wimmer, PA
7309 N Knoxville Ave,
Peoria, IL 61614-2085

Ph: (309) 692-9898

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› Verified 6 days ago


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