Mrs Kellisha Gray, MSW, LCSW in Dunn, NC - Medicare Social Worker Provider

Mrs Kellisha Gray, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Dunn, North Carolina. Her current practice location is 731 Tilghman Dr, Dunn, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 249-4219.

Mrs Kellisha Gray is licensed to practice in North Carolina (license number C011140) 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 1992173355.

Contact Information

	Mrs Kellisha Gray, MSW, LCSW
	731 Tilghman Dr, Dunn, NC 28334-5507
	(910) 249-4219
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kellisha Gray
Gender	Female
Speciality	Social Worker - Clinical
Location	731 Tilghman Dr, Dunn, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992173355
Provider Enumeration Date: 09/02/2015
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 9830457191
Enrollment ID: I20240403001018

Medical Identifiers

Medical identifiers for Mrs Kellisha Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992173355	NPI	-	NPPES
1992173355	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C011140 (North Carolina)	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. Mrs Kellisha Gray allows following entities to bill medicare on her behalf.

Entity Name	Mahogany Place Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740831981 PECOS PAC ID: 6507217221 Enrollment ID: O20240108000850

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. Mrs Kellisha 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
Mrs Kellisha Gray, MSW, LCSW 125 Bella Howington Dr, Lillington, NC 27546-5666 Ph: (910) 814-4015	Mrs Kellisha Gray, MSW, LCSW 731 Tilghman Dr, Dunn, NC 28334-5507 Ph: (910) 249-4219

Reviews and Comments

Social Worker in Dunn, NC

Alyssa Davis Senter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42 Happy Trails Ln, Dunn, NC 28334 Phone: 910-391-6962
Helen Yates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-5020
Michael W. Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-1333 Fax: 910-892-2929
Mrs. Adriane Leigh Butler, LCSW, LCAS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-6194 Fax: 910-567-4331
Antionette B Jennings, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3331 Easy St, Dunn, NC 28334 Phone: 910-567-7158
Kayla Young, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 731 Tilghman Dr, Dunn, NC 28334 Phone: 910-249-4219
Ms. Etta Serena Faison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 S Clinton Ave, Dunn, NC 28334 Phone: 910-337-3520

Mrs Kellisha Gray, MSW, LCSW - Medicare Clinical Social Worker in Dunn, NC