Dr Shira Fishbach, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Niles, Illinois. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Obstetrics/gynecology. Her current practice location is
6450 W Touhy Ave, Niles, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 933-1773.
Dr Shira Fishbach is licensed to practice in Illinois (license number 036178661) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1477282077.
Physician's Profile
| Full Name | Dr Shira Fishbach |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 4 Years |
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| Location | 6450 W Touhy Ave, Niles, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shira Fishbach graduated from medical school in 2022
NPI Data:
- NPI Number: 1477282077
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 06/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 2769954304
- Enrollment ID: I20260616000533
Medical Identifiers
Medical identifiers for Dr Shira Fishbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477282077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 4351049125 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036178661 (Illinois) | Primary |
Medical Facilities Affiliation
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. Dr Shira Fishbach allows following entities to bill medicare on her behalf.
| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Dr Shira Fishbach 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 |
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Dr Shira Fishbach, MD
2650 Ridge Ave Ste 1223,
Evanston, IL 60201-1700
Ph: Not Available | Dr Shira Fishbach, MD
6450 W Touhy Ave,
Niles, IL 60714-4512
Ph: (847) 933-1773 |
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