Kamillah Devonne Gray, in Mc Lean, VA - Medicare Counselor Provider

Kamillah Devonne Gray, is a medicare enrolled "Counselor - Professional" provider in Mc Lean, Virginia. Her current practice location is 1311 Dolley Madison Blvd Ste 2d, Mc Lean, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 200-5518.

Kamillah Devonne Gray is licensed to practice in * (Not Available) (license number 0701013055) 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 1023722451.

Contact Information

	Kamillah Devonne Gray,
	1311 Dolley Madison Blvd Ste 2d, Mc Lean, VA 22101-3937
	(571) 200-5518
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kamillah Devonne Gray
Gender	Female
Speciality	Counselor - Professional
Location	1311 Dolley Madison Blvd Ste 2d, Mc Lean, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023722451
Provider Enumeration Date: 01/10/2023
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4082064563
Enrollment ID: I20231225000098

Medical Identifiers

Medical identifiers for Kamillah Devonne Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023722451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	0701013055 (* (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. Kamillah Devonne Gray allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919

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. Kamillah Devonne 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
Kamillah Devonne Gray, Po Box 748465, Atlanta, GA 30374-8465 Ph: () -	Kamillah Devonne Gray, 1311 Dolley Madison Blvd Ste 2d, Mc Lean, VA 22101-3937 Ph: (571) 200-5518

Reviews and Comments

Counselor in Mc Lean, VA

Tay-lor A Smith, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1360 Beverly Rd Ste 200, Mc Lean, VA 22101 Phone: 410-952-1308
Kristen Anderson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1761 Old Meadow Rd, Mc Lean, VA 22102 Phone: 703-531-9365
Madeline R Grove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Dolley Madison Blvd, Mc Lean, VA 22101 Phone: 571-377-8114
Ms. Mary Lou Lyon, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6723 Whittier Ave, Suite 406, Mc Lean, VA 22101 Phone: 703-963-6301
James Albert Bryan Ii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1497 Chain Bridge Rd Ste 202, Mc Lean, VA 22101 Phone: 760-390-1550
William M Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8180 Greensboro Dr Ste 350, Mc Lean, VA 22102 Phone: 571-251-1303

Kamillah Devonne Gray, - Medicare Counselor in Mc Lean, VA