Dr Paul C Tack, MD - Medicare Internal Medicine in Gurnee, IL

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Dr Paul C Tack, MD is a medicare enrolled "Internal Medicine" physician in Gurnee, Illinois. He went to Emory University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 501 N Riverside Dr, Suite 102, Gurnee, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 625-8300.

Dr Paul C Tack is licensed to practice in Illinois (license number 036097015) 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 1265446017.

Contact Information

Dr Paul C Tack, MD
501 N Riverside Dr, Suite 102,
Gurnee, IL 60031-5918
(847) 625-8300
(847) 625-8862

Map and Direction




Physician's Profile

Full NameDr Paul C Tack
GenderMale
SpecialityInternal Medicine
Experience29 Years
Location501 N Riverside Dr, Gurnee, 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 Paul C Tack attended and graduated from Emory University School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1265446017
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 07/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9335129634
  • Enrollment ID: I20040726000381

Medical Identifiers

Medical identifiers for Dr Paul C Tack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265446017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036097015 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Condell Medical CenterLibertyville, ILHospital
Central Dupage HospitalWinfield, ILHospital

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 Paul C Tack allows following entities to bill medicare on his behalf.
Entity NameCenter For Internal Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770770919
PECOS PAC ID: 2163478652
Enrollment ID: O20050328001035
Entity NameSkyline Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568704443
PECOS PAC ID: 9133367931
Enrollment ID: O20130606000709
Entity NameCep America-illinois Hospitalists, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841613403
PECOS PAC ID: 3274765904
Enrollment ID: O20140411001788
Entity NameReliable Visiting Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578064077
PECOS PAC ID: 6406119247
Enrollment ID: O20180410000365

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 Paul C Tack 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 Paul C Tack, MD
501 N Riverside Dr, Suite 216,
Gurnee, IL 60031-5918

Ph: (847) 625-8300		Dr Paul C Tack, MD
501 N Riverside Dr, Suite 102,
Gurnee, IL 60031-5918

Ph: (847) 625-8300

Reviews and Comments


Internal Medicine Doctors in Gurnee, IL

Dr. Fred B Rosenberg, M.D.
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Dr. Xavier W Parreno, M.D.
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Dr. Efren C. Estrella, M.D.
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Dr. Rakhi Khanna, D.O
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Nevin Murthy, MD
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Peter M. Oshin, MD
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Practice Location: 15 Tower Ct Ste 265, Gurnee, IL 60031
Phone: 847-623-8818    Fax: 847-625-8059
Jason Scott Kramer, M.D.
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Practice Location: 36100 N Brookside Dr, Suite 206, Gurnee, IL 60031
Phone: 847-856-2090    Fax: 847-856-2093

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.