Laura E Gray, LPC, MSN is a medicare enrolled "Counselor - Professional" provider in Brookfield, Wisconsin. Her current practice location is
16535 W Bluemound Rd Ste 200, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 789-1191.
Laura E Gray is licensed to practice in Wisconsin (license number 4852-125) 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 1760508113.
Healthcare Provider's Profile
Full Name | Laura E Gray |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 16535 W Bluemound Rd Ste 200, Brookfield, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760508113
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 05/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 2466896477
- Enrollment ID: I20240219000425
Medical Identifiers
Medical identifiers for Laura E Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760508113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 96397-030 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 4852-125 (Wisconsin) | 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. Laura E Gray allows following entities to bill medicare on her behalf.
Entity Name | Shore Counseling And Consulting Clinic Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588710073 PECOS PAC ID: 3072580547 Enrollment ID: O20040914000637 |
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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. Laura E 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 |
Laura E Gray, LPC, MSN 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 Ph: (262) 789-1191 | Laura E Gray, LPC, MSN 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 Ph: (262) 789-1191 |
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