Dr Tara Gray, PHD is a medicare enrolled "Counselor - Professional" provider in Mountain Village, Colorado. Her current practice location is
618 Mountain Village Blvd # 203c, Mountain Village, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 769-9472.
Dr Tara Gray is licensed to practice in Colorado (license number LPC.0012261) 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 1649637331.
Healthcare Provider's Profile
| Full Name | Dr Tara Gray |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 618 Mountain Village Blvd # 203c, Mountain Village, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649637331
- Provider Enumeration Date: 01/26/2016
- Last Update Date: 01/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 5890238711
- Enrollment ID: I20240620002364
Medical Identifiers
Medical identifiers for Dr Tara Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649637331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | LPC.0012261 (Colorado) | 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. Dr Tara Gray allows following entities to bill medicare on her behalf.
| Entity Name | Dr. Tara Gray Counseling & Wellness Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972012490
PECOS PAC ID: 9234579400
Enrollment ID: O20240506000233 |
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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. Dr Tara 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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Dr Tara Gray, PHD
Po Box 1393,
Telluride, CO 81435-1393
Ph: (970) 769-9472 | Dr Tara Gray, PHD
618 Mountain Village Blvd # 203c,
Mountain Village, CO 81435-9541
Ph: (970) 769-9472 |
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