Dr Jacqueline J Gray, MD in Bossier City, LA

Dr Jacqueline J Gray, MD is a medicare enrolled "Pediatrics" physician in Bossier City, Louisiana. Her current practice location is 2300 Hospital Dr Ste 420, Bossier City, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 212-7880.

Dr Jacqueline J Gray is licensed to practice in Ohio (license number 35075835) 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 1346354297.

Contact Information

	Dr Jacqueline J Gray, MD
	2300 Hospital Dr Ste 420, Bossier City, LA 71111-2166
	(318) 212-7880
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jacqueline J Gray
Gender	Female
Speciality	Pediatrics
Location	2300 Hospital Dr Ste 420, Bossier City, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346354297
Provider Enumeration Date: 08/18/2006
Last Update Date: 07/15/2021

Medicare PECOS Information:

PECOS PAC ID: 1658652706
Enrollment ID: I20170103001171

Medical Identifiers

Medical identifiers for Dr Jacqueline J Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346354297	NPI	-	NPPES
2489258	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35075835 (Ohio)	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 Jacqueline J Gray allows following entities to bill medicare on her behalf.

Entity Name	David Raines Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215933254 PECOS PAC ID: 4688586118 Enrollment ID: O20041007000508

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 Jacqueline J 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 Jacqueline J Gray, MD 3041 Martin Luther King Drive, Shreveport, LA 71107 Ph: (318) 227-3350	Dr Jacqueline J Gray, MD 2300 Hospital Dr Ste 420, Bossier City, LA 71111-2166 Ph: (318) 212-7880

Reviews and Comments

Pediatrics Doctors in Bossier City, LA

Manohar R. Manchandia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2706 Shed Rd, Bossier City, LA 71111 Phone: 318-747-5272 Fax: 318-746-9669
Dr. Zack G Sanders, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Ste 120, Bossier City, LA 71111 Phone: 318-742-6710 Fax: 318-747-5393
Randall Glen White Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 120, Bossier City, LA 71111 Phone: 318-212-7982 Fax: 318-212-7989
Quynh Tran Dang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr Ste 340, Bossier City, LA 71111 Phone: 318-212-7883 Fax: 318-212-7885
Jennifer Kelley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5751 Shed Rd Ste 120, Bossier City, LA 71111 Phone: 318-935-1922 Fax: 318-935-1925
Dr. Robert Borden Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 Hospital Dr Ste 120, Bossier City, LA 71111 Phone: 318-212-7982 Fax: 318-212-7989

Dr Jacqueline J Gray, MD - Medicare Pediatrics in Bossier City, LA