Jade Bray, is a medicare enrolled "Social Worker - Clinical" provider in South Windsor, Connecticut. Her current practice location is
1750 Ellington Rd Ste 3, South Windsor, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 595-2377.
Jade Bray is licensed to practice in * (Not Available) (license number ) 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 1033490735.
Healthcare Provider's Profile
Full Name | Jade Bray |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1750 Ellington Rd Ste 3, South Windsor, Connecticut |
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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: 1033490735
- Provider Enumeration Date: 09/08/2011
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315207396
- Enrollment ID: I20180213000514
Medical Identifiers
Medical identifiers for Jade Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033490735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jade Bray allows following entities to bill medicare on her behalf.
Entity Name | Wheeler Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
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Entity Name | Community Health Resources, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
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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. Jade Bray 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 |
Jade Bray, 1750 Ellington Rd Ste 3, South Windsor, CT 06074-2746 Ph: (860) 595-2377 | Jade Bray, 1750 Ellington Rd Ste 3, South Windsor, CT 06074-2746 Ph: (860) 595-2377 |
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