Amira Al-basha, PA-C is a medicare enrolled "Dermatology" in Rockford, Illinois. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Edgebrook Dermatology P.c. and her current practice location is
1639 N Alpine Rd Ste 380, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 229-9333.
Amira Al-basha is licensed to practice in Illinois (license number 085.006967) 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 1871063776.
Provider's Profile
| Full Name | Amira Al-basha |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 8 Years |
|---|
| Location | 1639 N Alpine Rd Ste 380, Rockford, Illinois |
|---|
| 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:
- Amira Al-basha graduated from nursing school in 2018
NPI Data:
- NPI Number: 1871063776
- Provider Enumeration Date: 12/04/2018
- Last Update Date: 03/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 2668804162
- Enrollment ID: I20191122000093
Medical Identifiers
Medical identifiers for Amira Al-basha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871063776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 085006967 (Illinois) | Secondary |
| 207N00000X | Dermatology | 085.006967 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Edgebrook Dermatology P.c. | 3476650060 | 6 |
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. Amira Al-basha 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 |
|---|
Amira Al-basha, PA-C
1639 N Alpine Rd Ste 380,
Rockford, IL 61107-1440
Ph: (815) 229-9333 | Amira Al-basha, PA-C
1639 N Alpine Rd Ste 380,
Rockford, IL 61107-1440
Ph: (815) 229-9333 |
Reviews and Comments