Dr James Harold Gray Jr, DO is a medicare enrolled "Family Medicine" physician in Antwerp, Ohio. His current practice location is
107 Buffalo St, Antwerp, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 542-5495.
Dr James Harold Gray Jr is licensed to practice in Ohio (license number 34003806) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902903230.
Physician's Profile
| Full Name | Dr James Harold Gray Jr |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 107 Buffalo St, Antwerp, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1902903230
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 09/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 7911804018
- Enrollment ID: I20100419000020
Medical Identifiers
Medical identifiers for Dr James Harold Gray Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902903230 | NPI | - | NPPES |
| 0572590 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 34003806 (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 James Harold Gray Jr allows following entities to bill medicare on his behalf.
| Entity Name | Community Memorial Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1730145392
PECOS PAC ID: 0547258907
Enrollment ID: O20040504000912 |
|---|
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 James Harold Gray Jr 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 James Harold Gray Jr, DO
208 Columbus St,
Hicksville, OH 43526-1250
Ph: (419) 542-6692 | Dr James Harold Gray Jr, DO
107 Buffalo St,
Antwerp, OH 45813-8434
Ph: (419) 542-5495 |
Reviews and Comments