Dr Adam Wray, DO is a medicare enrolled "Dermatology" physician in Blackfoot, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2003 and has 22 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Bmh Inc and his current practice location is
326 Poplar St Ste 101, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at
(986) 275-0003.
Dr Adam Wray is licensed to practice in Idaho (license number O-0444) 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 1902952930.
Physician's Profile
| Full Name | Dr Adam Wray |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 22 Years |
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| Location | 326 Poplar St Ste 101, Blackfoot, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adam Wray attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2003
NPI Data:
- NPI Number: 1902952930
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385696137
- Enrollment ID: I20171121000479
Medical Identifiers
Medical identifiers for Dr Adam Wray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902952930 | NPI | - | NPPES |
| 000010163016 | Other | ID | REGENCE BLUE SHIELD POC |
| S6116 | Other | ID | BLUE CROSS BLKFT |
| S6117 | Other | ID | BLUE CROSS POC |
| 807719000 | Medicaid | ID | |
| 000010163015 | Other | ID | REGENCE BLUE SHIELD BLKFT |
| 315520 | Other | ID | ALTIUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | O-0444 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bmh Inc | 8426149758 | 124 |
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 Adam Wray allows following entities to bill medicare on his behalf.
| Entity Name | Hw Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750800033
PECOS PAC ID: 4880951201
Enrollment ID: O20171120001906 |
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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 Adam 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 |
|---|
Dr Adam Wray, DO
326 Poplar St Ste 101,
Blackfoot, ID 83221-1741
Ph: (986) 275-0003 | Dr Adam Wray, DO
326 Poplar St Ste 101,
Blackfoot, ID 83221-1741
Ph: (986) 275-0003 |
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