Dale Gray M.d.,s.c. - Medicare Primary Care in Rockford, IL

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Dale Gray M.d.,s.c. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Rockford, Illinois. The current practice location for Dale Gray M.d.,s.c. is 2720 Glenwood Ct, Rockford, Illinois. For appointments, you can reach them via phone at (815) 962-0633. The mailing address for Dale Gray M.d.,s.c. is 2720 Glenwood Ct, Rockford, Illinois and phone number is (815) 962-0633.

Dale Gray M.d.,s.c. is licensed to practice in Illinois (license number 036072289). The clinic also participates in the medicare program and its NPI number is 1750807558. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 962-0633.

Contact Information

Dale Gray M.d.,s.c.
2720 Glenwood Ct
Rockford
IL 61101-3507
(815) 962-0633
(815) 962-0142

Map and Direction


Primary Care Clinic Profile

Full NameDale Gray M.d.,s.c.
SpecialityClinic/Center
Location2720 Glenwood Ct, Rockford, Illinois
Authorized Official Name and PositionDale Gray (PRESIDENT)
Authorized Official Contact8159620633
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dale Gray M.d.,s.c.
2720 Glenwood Ct
Rockford
IL 61101-3507

Ph: (815) 962-0633		Dale Gray M.d.,s.c.
2720 Glenwood Ct
Rockford
IL 61101-3507

Ph: (815) 962-0633

NPI Details:

NPI Number1750807558
Provider Enumeration Date08/14/2017
Last Update Date08/14/2017

Medicare PECOS Information:

Medicare PECOS PAC ID2860751294
Medicare Enrollment IDO20180110002897

Medical Identifiers

Medical identifiers for Dale Gray M.d.,s.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750807558NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 036072289 (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. Dale Gray M.d.,s.c. acts as a billing entity for following providers:
Provider NameDale R Gray
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043252075
PECOS PAC ID: 9830155977
Enrollment ID: I20041209000570
Provider NameJody Gosnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235687989
PECOS PAC ID: 6709173214
Enrollment ID: I20160928000145
Provider NameJennifer Henrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942761390
PECOS PAC ID: 0244572733
Enrollment ID: I20190502002283
Provider NameAshlee R Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245936509
PECOS PAC ID: 4688049984
Enrollment ID: I20230418001359

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.