Dhara Mehta, in Rockford, IL - Medicare Nurse Practitioner

Dhara Mehta, is a medicare enrolled "Nurse Practitioner - Family" in Rockford, Illinois. Her current practice location is 6861 Villagreen Vw, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (779) 696-0250.

Dhara Mehta is licensed to practice in Illinois (license number 209.029582) 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 1003505314.

Contact Information

	Dhara Mehta,
	6861 Villagreen Vw, Rockford, IL 61107-5639
	(779) 696-0250
	Not Available

Map and Direction

Provider's Profile

Full Name	Dhara Mehta
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6861 Villagreen Vw, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003505314
Provider Enumeration Date: 05/03/2023
Last Update Date: 07/12/2025

Medicare PECOS Information:

PECOS PAC ID: 6002337847
Enrollment ID: I20250310000673

Medical Identifiers

Medical identifiers for Dhara Mehta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003505314	NPI	-	NPPES
236	Medicaid	DC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.497979 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209.029582 (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. Dhara Mehta 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. Dhara Mehta 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
Dhara Mehta, 6861 Villagreen Vw, Rockford, IL 61107-5639 Ph: () -	Dhara Mehta, 6861 Villagreen Vw, Rockford, IL 61107-5639 Ph: (779) 696-0250

Reviews and Comments

Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000

Dhara Mehta, - Medicare Nurse Practitioner in Rockford, IL