Gregory J Conrad, DO is a medicare enrolled "Emergency Medicine" physician in Bartlett, Illinois. His current practice location is
212 N Chase Ave, Bartlett, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 837-2466.
Gregory J Conrad is licensed to practice in Illinois (license number 36116974) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730222126.
Physician's Profile
Full Name | Gregory J Conrad |
---|
Gender | Male |
---|
Speciality | Emergency Medicine |
---|
Location | 212 N Chase Ave, Bartlett, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730222126
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7911000716
- Enrollment ID: I20070315000455
Medical Identifiers
Medical identifiers for Gregory J Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730222126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 36116974 (Illinois) | Primary |
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. Gregory J Conrad allows following entities to bill medicare on his behalf.
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 | Valley West Community Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1316002520 PECOS PAC ID: 6507769957 Enrollment ID: O20040202000065 |
---|
Entity Name | Valley West Community Hospital |
---|
Entity Type | Part A Provider - Critical Access Hospital |
---|
Entity Identifiers | NPI Number: 1184705931 PECOS PAC ID: 6507769957 Enrollment ID: O20070515000333 |
---|
Entity Name | Kishwaukee Physician Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1932480605 PECOS PAC ID: 3870768054 Enrollment ID: O20111216000435 |
---|
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. Gregory J Conrad 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 |
Gregory J Conrad, DO 212 N Chase Ave, Bartlett, IL 60103-4133 Ph: (630) 837-2466 | Gregory J Conrad, DO 212 N Chase Ave, Bartlett, IL 60103-4133 Ph: (630) 837-2466 |
Reviews and Comments