| Dhara Mehta, | |
|
6861 Villagreen Vw, Rockford, IL 61107-5639 | |
| (779) 696-0250 | |
| Not Available |
| Full Name | Dhara Mehta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 6861 Villagreen Vw, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003505314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.497979 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.029582 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uw Health | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedishamerican Hospital | 5799698346 | 386 |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Dhara Mehta, 6861 Villagreen Vw, Rockford, IL 61107-5639 Ph: Not Available | Dhara Mehta, 6861 Villagreen Vw, Rockford, IL 61107-5639 Ph: (779) 696-0250 |
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: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 |
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Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833 |
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