Amy L Gray, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Coshocton, Ohio. She graduated from healthcare school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1100 Fairy Falls Dr Ste 4, Coshocton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 722-9416.
Amy L Gray is licensed to practice in Ohio (license number I.0020357-SUPV) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558424515.
Healthcare Provider's Profile
| Full Name | Amy L Gray |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 24 Years |
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| Location | 1100 Fairy Falls Dr Ste 4, Coshocton, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy L Gray graduated from medical school in 2000
NPI Data:
- NPI Number: 1558424515
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 05/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 7012918246
- Enrollment ID: I20070130000595
Medical Identifiers
Medical identifiers for Amy L Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558424515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 954452 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I 0020357 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0020357-SUPV (Ohio) | 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. Amy L Gray allows following entities to bill medicare on her behalf.
| Entity Name | Amy Gray Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194382762
PECOS PAC ID: 6608202924
Enrollment ID: O20200205001965 |
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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. Amy L 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 |
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Amy L Gray, LISW-S
69902 Mount Hermon Rd,
Cambridge, OH 43725-9464
Ph: (740) 705-1543 | Amy L Gray, LISW-S
1100 Fairy Falls Dr Ste 4,
Coshocton, OH 43812-2803
Ph: (740) 722-9416 |
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