Dr Jordan Ashley Gray, DDS in Rutland, VT - Medicare Dentist Provider

Dr Jordan Ashley Gray, DDS is a medicare enrolled "Dentist" provider in Rutland, Vermont. Her current practice location is 69 Allen St Ste 10, Rutland, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 855-5468.

Dr Jordan Ashley Gray is licensed to practice in Maryland (license number 16601) 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 1548613086.

Contact Information

	Dr Jordan Ashley Gray, DDS
	69 Allen St Ste 10, Rutland, VT 05701-4564
	(802) 855-5468
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan Ashley Gray
Gender	Female
Speciality	Dentist
Location	69 Allen St Ste 10, Rutland, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548613086
Provider Enumeration Date: 07/20/2016
Last Update Date: 09/02/2024

Medicare PECOS Information:

PECOS PAC ID: 1052774577
Enrollment ID: I20230831002110

Medical Identifiers

Medical identifiers for Dr Jordan Ashley Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548613086	NPI	-	NPPES
680020300	Medicaid	MD
013323059	Medicaid	DC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN1001795 (District Of Columbia)	Secondary
122300000X	Dentist	16601 (Maryland)	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. Dr Jordan Ashley Gray allows following entities to bill medicare on her behalf.

Entity Name	Community Health Centers Of The Rutland Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437364759 PECOS PAC ID: 2961467386 Enrollment ID: O20191011001136

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. Dr Jordan Ashley 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
Dr Jordan Ashley Gray, DDS 6710 Oxon Hill Rd Ste 170, Oxon Hill, MD 20745-1123 Ph: (301) 686-0710	Dr Jordan Ashley Gray, DDS 69 Allen St Ste 10, Rutland, VT 05701-4564 Ph: (802) 855-5468

Reviews and Comments

Dentist in Rutland, VT

Dr. Alison Landgraf, DMD Dentist Medicare: Medicare Enrolled Practice Location: 69 Allen St Ste 10, Rutland, VT 05701 Phone: 802-774-5050
Ms. Sherilynn Stofka, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 66 N Main St, Rutland, VT 05701 Phone: 802-775-9700 Fax: 802-775-3237
Mohammed Shakarchi, Dentist Medicare: Medicare Enrolled Practice Location: 69 Allen St Ste 10, Rutland, VT 05701 Phone: 802-774-5050
Dr. Thomas L. Opsahl, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4 General Wing Rd, Rutland, VT 05701 Phone: 802-775-0819 Fax: 802-775-1487
Dr. George Michael Ciavola, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6 Roberts Ave, Rutland, VT 05701 Phone: 802-773-0822
Rachel Foster Rivard, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 69 Allen St Ste 10, Rutland, VT 05701 Phone: 802-774-5050
Charles Alexander Ullman, DMD, MDS Dentist Medicare: Medicare Enrolled Practice Location: 71 Allen St, Sutie 204, Rutland, VT 05701 Phone: 802-773-7767

Dr Jordan Ashley Gray, DDS - Medicare Dentist in Rutland, VT