Sara Wray, in Normal, IL - Medicare Counselor Provider

Sara Wray, is a medicare enrolled "Counselor - Mental Health" provider in Normal, Illinois. Her current practice location is 448 Wylie Dr, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (888) 924-3786.

Sara Wray is licensed to practice in Illinois (license number 178.018101) 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 1922752484.

Contact Information

	Sara Wray,
	448 Wylie Dr, Normal, IL 61761-5405
	(888) 924-3786
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sara Wray
Gender	Female
Speciality	Counselor - Mental Health
Location	448 Wylie Dr, Normal, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922752484
Provider Enumeration Date: 02/03/2022
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0143672907
Enrollment ID: I20240117001367

Medical Identifiers

Medical identifiers for Sara Wray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922752484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	178.018101 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	178.018101 (Illinois)	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. Sara Wray allows following entities to bill medicare on her behalf.

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738

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. Sara Wray 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
Sara Wray, 8 Executive Dr Ste 200, Fairview Heights, IL 62208-1350 Ph: (618) 688-4727	Sara Wray, 448 Wylie Dr, Normal, IL 61761-5405 Ph: (888) 924-3786

Reviews and Comments

Counselor in Normal, IL

Carrie P Bussmann, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave, Ste 112, Normal, IL 61761 Phone: 309-585-0241
Christopher Cashen, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528
Ayrielle Ehlers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr, Normal, IL 61761 Phone: 309-822-2725
Gregory Jenkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Northfield Dr Apt J3, Normal, IL 61761 Phone: 309-660-7635
Alondra Eradnsa Faudoa, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 300, Normal, IL 61761 Phone: 309-212-3606
Theresa Vaccariello Lawrence, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124
Alya Abbed, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 114a, Normal, IL 61761 Phone: 309-807-8669

Sara Wray, - Medicare Counselor in Normal, IL