Ms Marie Colette Gray, PHD; NCP; LPC;FAAGFS in Dallas, PA

Ms Marie Colette Gray, PHD; NCP; LPC;FAAGFS is a medicare enrolled "Counselor - Professional" provider in Dallas, Pennsylvania. Her current practice location is 1172 Twin Stacks Drive, Dallas, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 674-1505.

Ms Marie Colette Gray is licensed to practice in Pennsylvania (license number PC003840) 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 1265679997.

Contact Information

	Ms Marie Colette Gray, PHD; NCP; LPC;FAAGFS
	1172 Twin Stacks Drive, Dallas, PA 18612-9178
	(570) 674-1505
	(570) 674-8679

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Marie Colette Gray
Gender	Female
Speciality	Counselor - Professional
Location	1172 Twin Stacks Drive, Dallas, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265679997
Provider Enumeration Date: 01/16/2009
Last Update Date: 08/25/2015

Medicare PECOS Information:

PECOS PAC ID: 9335561299
Enrollment ID: I20240322002869

Medical Identifiers

Medical identifiers for Ms Marie Colette Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265679997	NPI	-	NPPES
1023153600001	Other	PA	DPW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC003840 (Pennsylvania)	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. Ms Marie Colette Gray allows following entities to bill medicare on her behalf.

Entity Name	Safe Pathways Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548048903 PECOS PAC ID: 4981041134 Enrollment ID: O20240322002746

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. Ms Marie Colette 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
Ms Marie Colette Gray, PHD; NCP; LPC;FAAGFS 1172 Twin Stacks Dr, Dallas, PA 18612-8505 Ph: (570) 674-1505	Ms Marie Colette Gray, PHD; NCP; LPC;FAAGFS 1172 Twin Stacks Drive, Dallas, PA 18612-9178 Ph: (570) 674-1505

Reviews and Comments

Counselor in Dallas, PA

Ms. Valerie Lee Noel, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 Twin Stacks Dr, Dallas, PA 18612 Phone: 570-674-1505 Fax: 570-674-8679
Scott Joseph Preisel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 Twin Stacks Dr, Dallas, PA 18612 Phone: 570-674-1505 Fax: 570-674-8679
Ms. Jessica Alyssa Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 Twin Stacks Dr # 427, Dallas, PA 18612 Phone: 570-674-1505 Fax: 570-674-8679
Matthew Debiase, M.S., N.C.C.,L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 Twin Stacks Dr, Dallas, PA 18612 Phone: 570-674-1505
Ms. Debra Passarella, M.A.,N.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 Twin Stacks Dr, Dallas, PA 18612 Phone: 570-674-1505
Amy Lynn Roccograndi, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 Twin Stacks Dr, Dallas, PA 18612 Phone: 570-674-1505 Fax: 570-674-8679

Ms Marie Colette Gray, PHD; NCP; LPC;FAAGFS - Medicare Counselor in Dallas, PA