Dr Sean Samuel Ray, MD is a medicare enrolled "Emergency Medicine" physician in Tiffin, Ohio. His current practice location is
45 St Lawrence Dr, Tiffin, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 455-7913.
Dr Sean Samuel Ray is licensed to practice in North Carolina (license number 2014-01626) 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 1487892139.
Physician's Profile
Full Name | Dr Sean Samuel Ray |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 45 St Lawrence Dr, Tiffin, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487892139
- Provider Enumeration Date: 02/02/2009
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577716398
- Enrollment ID: I20151204001038
Medical Identifiers
Medical identifiers for Dr Sean Samuel Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487892139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35.143708 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 313366 (New York) | Secondary |
207P00000X | Emergency Medicine | 4301511479 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 2014-01626 (North Carolina) | 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 Sean Samuel Ray allows following entities to bill medicare on his behalf.
Entity Name | Cfvhs Ed Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215931589 PECOS PAC ID: 2961316237 Enrollment ID: O20031119000605 |
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Entity Name | Wake Emergency Physicians Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922063387 PECOS PAC ID: 9931002078 Enrollment ID: O20040128000295 |
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Entity Name | The Carolinas Emergency Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
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Entity Name | Harnett Emergency Physicians, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316288350 PECOS PAC ID: 0749420677 Enrollment ID: O20130717000172 |
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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 Sean Samuel Ray 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 Sean Samuel Ray, MD 5905 Fortress Dr, Holly Springs, NC 27540-6351 Ph: (123) 346-1244 | Dr Sean Samuel Ray, MD 45 St Lawrence Dr, Tiffin, OH 44883-8310 Ph: (419) 455-7913 |
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