Dr Kenton Lee, MD - Medicare Family Practice in Rockford, IL

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Dr Kenton Lee, MD is a medicare enrolled "Family Medicine" physician in Rockford, Illinois. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Board Of Trustees Of The University Of Illinois, Swedishamerican Hospital, Rockford Hospitalist Group Llc and his current practice location is 3775 N Mulford Rd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 696-9202.

Dr Kenton Lee is licensed to practice in Illinois (license number 036089913) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366426397.

Contact Information

Dr Kenton Lee, MD
3775 N Mulford Rd,
Rockford, IL 61114-5632
(779) 696-9202
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenton Lee
GenderMale
SpecialityFamily Practice
Experience32 Years
Location3775 N Mulford Rd, Rockford, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenton Lee graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1366426397
  • Provider Enumeration Date: 12/02/2005
  • Last Update Date: 06/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507999810
  • Enrollment ID: I20100805001010

Medical Identifiers

Medical identifiers for Dr Kenton Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366426397NPI-NPPES
036089913MedicaidIL
036089913OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036089913 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish American HospitalRockford, ILHospital
University Of Illinois HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Board Of Trustees Of The University Of Illinois3072422716923
Swedishamerican Hospital5799698346269
Rockford Hospitalist Group Llc983055949135

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 Kenton Lee allows following entities to bill medicare on his behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012
Entity NameCogent Healthcare Of Illinois, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487897849
PECOS PAC ID: 6507981008
Enrollment ID: O20100920001157
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20111012000272
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306486022
PECOS PAC ID: 3072422716
Enrollment ID: O20210706000302
Entity NameRockford Hospitalist Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750088852
PECOS PAC ID: 9830559491
Enrollment ID: O20230714002271

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 Kenton Lee 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 AddressPractice Location Address
Dr Kenton Lee, MD
1601 Parkview Ave, Credentialing S200c,
Rockford, IL 61107-1822

Ph: (815) 395-5861		Dr Kenton Lee, MD
3775 N Mulford Rd,
Rockford, IL 61114-5632

Ph: (779) 696-9202

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.