Kimberly Jean Gray, MS, LPC, CM in Eugene, OR

Kimberly Jean Gray, MS, LPC, CM is a medicare enrolled "Counselor - Professional" provider in Eugene, Oregon. Her current practice location is 66 Club Rd Ste 160, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 345-1722.

Kimberly Jean Gray is licensed to practice in Oregon (license number C6574) 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 1629110853.

Contact Information

	Kimberly Jean Gray, MS, LPC, CM
	66 Club Rd Ste 160, Eugene, OR 97401-2439
	(541) 345-1722
	(541) 485-7049

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Jean Gray
Gender	Female
Speciality	Counselor - Professional
Location	66 Club Rd Ste 160, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629110853
Provider Enumeration Date: 02/13/2007
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1850742388
Enrollment ID: I20240109004733

Medical Identifiers

Medical identifiers for Kimberly Jean Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629110853	NPI	-	NPPES
3893	Medicaid	OK
500796814	Medicaid	OR
12140003	Other		CAQH ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	21-QMHP-R-0833 (Oregon)	Secondary
101YP2500X	Counselor - Professional	3893 (Oklahoma)	Secondary
101YP2500X	Counselor - Professional	C6574 (Oregon)	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. Kimberly Jean Gray allows following entities to bill medicare on her behalf.

Entity Name	Amber Benson Pmhnp Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912042862 PECOS PAC ID: 3072786755 Enrollment ID: O20111025000003

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. Kimberly Jean 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
Kimberly Jean Gray, MS, LPC, CM Po Box 70779, Springfield, OR 97475-0137 Ph: (541) 345-1722	Kimberly Jean Gray, MS, LPC, CM 66 Club Rd Ste 160, Eugene, OR 97401-2439 Ph: (541) 345-1722

Reviews and Comments

Counselor in Eugene, OR

Donald Schaefer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Centennial Loop Ste A, Eugene, OR 97401 Phone: 541-505-8426 Fax: 541-515-6938
Miss Rose Marie Woodfin, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Hwy 99 N, Eugene, OR 97402 Phone: 541-461-2845
Maleah Lynn Obie Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437
David Zeiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 E 12th Ave, Eugene, OR 97401 Phone: 541-342-8255
Jennifer Karen Gerrard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 W 25th Ave, Eugene, OR 97405 Phone: 541-343-9706 Fax: 541-683-3748
Mr. Adam David Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3692 Hickory Ave, Eugene, OR 97401 Phone: 541-284-7800
Susan Elizabeth Pepper-reed, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 Fax: 541-242-2999

Kimberly Jean Gray, MS, LPC, CM - Medicare Counselor in Eugene, OR