Dr Edward C Gray, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kingsport, Tennessee. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Wellmont Medical Associates Inc and his current practice location is
130 W Ravine Rd Ste 3a, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 245-6101.
Dr Edward C Gray is licensed to practice in * (Not Available) (license number ) 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 1811383706.
Physician's Profile
Full Name | Dr Edward C Gray |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 9 Years |
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Location | 130 W Ravine Rd Ste 3a, Kingsport, Tennessee |
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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. |
Medical Education and Training:
- Dr Edward C Gray graduated from medical school in 2015
NPI Data:
- NPI Number: 1811383706
- Provider Enumeration Date: 04/08/2015
- Last Update Date: 01/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698191443
- Enrollment ID: I20210721003166
Medical Identifiers
Medical identifiers for Dr Edward C Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811383706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 63102 (Tennessee) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Wellmont Medical Associates Inc | 8123291739 | 426 |
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 Edward C Gray allows following entities to bill medicare on his behalf.
Entity Name | Surgical Group Of Johnson City, Mpc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750301685 PECOS PAC ID: 5698763431 Enrollment ID: O20040503000346 |
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Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
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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 Edward C 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 Edward C Gray, MD 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6565 | Dr Edward C Gray, MD 130 W Ravine Rd Ste 3a, Kingsport, TN 37660-3841 Ph: (423) 245-6101 |
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