Vishwa Desai, is a medicare enrolled "Nurse Practitioner - Family" in Third Lake, Illinois. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Primary Care Illinois Pllc, Minuteclinic Diagnostic Of Illinois Pllc and her current practice location is
34344 N Us Highway, Third Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at
(866) 389-2727.
Vishwa Desai is licensed to practice in Illinois (license number 209.032259) 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 1164318432.
Provider's Profile
| Full Name | Vishwa Desai |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 34344 N Us Highway, Third Lake, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Vishwa Desai graduated from nursing school in 2024
NPI Data:
- NPI Number: 1164318432
- Provider Enumeration Date: 06/14/2025
- Last Update Date: 07/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921596966
- Enrollment ID: I20251022002151
Medical Identifiers
Medical identifiers for Vishwa Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164318432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 041424380 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.032259 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Minuteclinic Primary Care Illinois Pllc | 7416471842 | 100 |
| Minuteclinic Diagnostic Of Illinois Pllc | 8729171566 | 108 |
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. Vishwa Desai 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 |
|---|
Vishwa Desai,
34344 N Us Highway,
Third Lake, IL 60030-4031
Ph: () - | Vishwa Desai,
34344 N Us Highway,
Third Lake, IL 60030-4031
Ph: (866) 389-2727 |
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