| Tara Cole Nikodem, PA-C | |
|
1948 Three Farms Ave, Naperville, IL 60540-1105 | |
| (630) 355-5633 | |
| Not Available |
| Full Name | Tara Cole Nikodem |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 1948 Three Farms Ave, Naperville, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720322654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.004540 (Illinois) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 085004540 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Edward Hospital | Naperville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000348 |
| Entity Name | Edward Health Ventures |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616 |
| Entity Name | Elmhurst Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548306343 PECOS PAC ID: 3577458009 Enrollment ID: O20040216000346 |
| Entity Name | Edward Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Cole Nikodem, PA-C 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 982-3363 | Tara Cole Nikodem, PA-C 1948 Three Farms Ave, Naperville, IL 60540-1105 Ph: (630) 355-5633 |
Jennifer Lynn Bren, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 Rollingridge Rd, Suite 201, Naperville, IL 60564 Phone: 630-967-6000 |
Carla R. Nutter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1948 Three Farms Ave, Naperville, IL 60540 Phone: 630-355-5633 |
Sama Imad Hasan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 N Brainard St, Naperville, IL 60540 Phone: 630-637-5100 |
Melanie Szasz, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1259 Rickert Dr Ste 200, Naperville, IL 60540 Phone: 630-790-1221 Fax: 630-653-1091 |
Alexa Arroyo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr Ste 308, Naperville, IL 60540 Phone: 630-527-7730 Fax: 630-527-7732 |
Jessica Waters, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1460 Bond St, Naperville, IL 60563 Phone: 630-859-0120 |
Poojan Nilesh Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Spalding Dr Ste 300, Naperville, IL 60540 Phone: 630-527-3200 |