Nikki Borah Tang, PA-C is a medicare enrolled "Physician Assistant" in Deer Park, Illinois. She went to Middlesex University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
21660 W Field Pkwy, Deer Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(888) 803-3370.
Nikki Borah Tang is licensed to practice in Illinois (license number 085006035) 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 1598215022.
Provider's Profile
| Full Name | Nikki Borah Tang |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 21660 W Field Pkwy, Deer Park, 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:
- Nikki Borah Tang attended and graduated from Middlesex University School Of Medicine in 2016
NPI Data:
- NPI Number: 1598215022
- Provider Enumeration Date: 10/07/2016
- Last Update Date: 12/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214216837
- Enrollment ID: I20250306002628
Medical Identifiers
Medical identifiers for Nikki Borah Tang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598215022 | NPI | - | NPPES |
| 920540 | Other | IL | MEDICARE GROUP |
| F400460219 | Other | IL | MEDICARE INDIVIDUAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA61936 (California) | Secondary |
| 363A00000X | Physician Assistant | 14155593-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 085006035 (Illinois) | Primary |
Medical Facilities Affiliation
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. Nikki Borah Tang 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 |
|---|
Nikki Borah Tang, PA-C
21660 W Field Pkwy,
Deer Park, IL 60010-7265
Ph: () - | Nikki Borah Tang, PA-C
21660 W Field Pkwy,
Deer Park, IL 60010-7265
Ph: (888) 803-3370 |
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