Patricia A Ray, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Urbana, Illinois. Her current practice location is
300 S Broadway Ave, Ste 110 A, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 954-1128.
Patricia A Ray is licensed to practice in Illinois (license number 14900835) 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 1467523118.
Healthcare Provider's Profile
Full Name | Patricia A Ray |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 300 S Broadway Ave, Urbana, Illinois |
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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: 1467523118
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587671052
- Enrollment ID: I20060309000048
Medical Identifiers
Medical identifiers for Patricia A Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467523118 | NPI | - | NPPES |
203596683001 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 14900835 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 14900835 (Illinois) | Primary |
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. Patricia A Ray 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 |
Patricia A Ray, LCSW 207 Arcadia Dr, Champaign, IL 61820-2603 Ph: (217) 766-9132 | Patricia A Ray, LCSW 300 S Broadway Ave, Ste 110 A, Urbana, IL 61801-3449 Ph: (217) 954-1128 |
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