Dr Richard E Gray, DO is a medicare enrolled "Family Medicine" physician in Jbph-hickam, Hawaii. His current practice location is
755 Scott Circle, Jbph-hickam, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 448-6177.
Dr Richard E Gray is licensed to practice in Nebraska (license number 824) 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 1003044421.
Physician's Profile
| Full Name | Dr Richard E Gray |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 755 Scott Circle, Jbph-hickam, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003044421
- Provider Enumeration Date: 06/24/2009
- Last Update Date: 08/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729971528
- Enrollment ID: I20120816000871
Medical Identifiers
Medical identifiers for Dr Richard E Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003044421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 125-056918 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 824 (Nebraska) | 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 Richard E Gray allows following entities to bill medicare on his behalf.
| Entity Name | Unmc Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417912114
PECOS PAC ID: 6002728391
Enrollment ID: O20031104000664 |
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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 Richard E 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 Richard E Gray, DO
755 Scott Circle,
Jbph-hickam, HI 96253
Ph: (808) 448-6177 | Dr Richard E Gray, DO
755 Scott Circle,
Jbph-hickam, HI 96253-5399
Ph: (808) 448-6177 |
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