Elizabeth Gray, DNP in Belvidere, IL - Medicare Nurse Practitioner

Elizabeth Gray, DNP is a medicare enrolled "Nurse Practitioner - Family" in Belvidere, Illinois. Her current practice location is 1700 Henry Luckow Ln, Belvidere, Illinois. You can reach out to her office (for appointments etc.) via phone at (779) 696-8650.

Elizabeth Gray is licensed to practice in Illinois (license number 209.028155) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922882562.

Contact Information

	Elizabeth Gray, DNP
	1700 Henry Luckow Ln, Belvidere, IL 61008-1702
	(779) 696-8650
	Not Available

Map and Direction

Provider's Profile

Full Name	Elizabeth Gray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1700 Henry Luckow Ln, Belvidere, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922882562
Provider Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 3274980255
Enrollment ID: I20231113002918

Medical Identifiers

Medical identifiers for Elizabeth Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922882562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.028155 (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. Elizabeth Gray allows following entities to bill medicare on her behalf.

Entity Name	Swedishamerican Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012

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. Elizabeth Gray 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
Elizabeth Gray, DNP 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 Ph: (779) 696-8650	Elizabeth Gray, DNP 1700 Henry Luckow Ln, Belvidere, IL 61008-1702 Ph: (779) 696-8650

Reviews and Comments

Nurse Practitioner Nurses in Belvidere, IL

Julie Bredlau, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 912 Kishwaukee St, Belvidere, IL 61008 Phone: 815-222-1517
Diana E Schultz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650
Ericka Mckenzie, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650
Amanda L Jones, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Henry Luckow Ln, Belvidere, IL 61008 Phone: 779-696-8650
Pamela J Garcia, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1954 Gateway Center Dr, Belvidere, IL 61008 Phone: 815-544-7400 Fax: 815-547-1730
Megan Edge, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1663 Belvidere Rd, Belvidere, IL 61008 Phone: 815-544-0040
Mary J Harker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 W Chrysler Dr, Belvidere, IL 61008 Phone: 866-825-3227

Elizabeth Gray, DNP - Medicare Nurse Practitioner in Belvidere, IL