David Gray, MD - Medicare Family Practice in Burnsville, MN

David Gray, MD is a medicare enrolled "Family Medicine" physician in Burnsville, Minnesota. He went to University Of Minnesota Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Park Nicollet Clinic and his current practice location is 14000 Nicollet Ave Ste 100, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 428-0200.

David Gray is licensed to practice in Wisconsin (license number 40304-020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053312256.

Contact Information

David Gray, MD
14000 Nicollet Ave Ste 100,
Burnsville, MN 55337-5793
(952) 428-0200
Not Available

Map and Direction




Physician's Profile

Full NameDavid Gray
GenderMale
SpecialityFamily Practice
Experience27 Years
Location14000 Nicollet Ave Ste 100, Burnsville, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Gray attended and graduated from University Of Minnesota Medical School in 1997
  NPI Data:
  • NPI Number: 1053312256
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 11/18/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8123007655
  • Enrollment ID: I20080709000721

Medical Identifiers

Medical identifiers for David Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053312256NPI-NPPES
32628600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 40304-020 (Wisconsin)Primary
208600000XSurgery 40304-020 (Wisconsin)Secondary
207Q00000XFamily Medicine 43240 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381530

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. David Gray allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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. David 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 AddressPractice Location Address
David Gray, MD
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000
David Gray, MD
14000 Nicollet Ave Ste 100,
Burnsville, MN 55337-5793

Ph: (952) 428-0200

Reviews and Comments


Family Medicine Doctors in Burnsville, MN

Dr. Geeta L Balkissoon, MB BS
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14000 Fairview Dr, Burnsville, MN 55337
Phone: 952-993-8700    
Dr. Albert Yeo, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337
Phone: 952-892-2650    
Michael C Magnuson, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 625 E Nicollet Blvd, Suite 100, Burnsville, MN 55337
Phone: 952-435-0303    Fax: 952-892-5166
Venancio T Jo, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337
Phone: 952-428-0200    
Tim A Meyer, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14000 Nicollet Ave, Burnsville Medical Center, Burnsville, MN 55337
Phone: 952-985-8255    Fax: 952-985-8299
Shabana Siddiqui,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14000 Fairview Dr, Park Nicollet Clinic - Burnsville, Burnsville, MN 55337
Phone: 952-993-8700    Fax: 952-993-8715

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.