Dr Thaddeus Alexas Ray, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Oro Valley, Arizona. His current practice location is
12315 N Vistoso Park Rd, Oro Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 784-6200.
Dr Thaddeus Alexas Ray is licensed to practice in Arizona (license number 010355) 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 1679535298.
Physician's Profile
| Full Name | Dr Thaddeus Alexas Ray |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 12315 N Vistoso Park Rd, Oro Valley, Arizona |
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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: 1679535298
- Provider Enumeration Date: 04/06/2006
- Last Update Date: 05/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456324748
- Enrollment ID: I20230612002494
Medical Identifiers
Medical identifiers for Dr Thaddeus Alexas Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679535298 | NPI | - | NPPES |
| 11553251 | Medicaid | CO | |
| P00896733 | Other | NM | R R MEDICARE |
| 470441 | Medicaid | AZ | |
| 7129724 | Other | NM | AETNA |
| 89731034 | Medicaid | NM | |
| 202039285 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| 1679535298 | Medicaid | UT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | A-1463-08 (New Mexico) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 010355 (Arizona) | 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 Thaddeus Alexas Ray allows following entities to bill medicare on his behalf.
| Entity Name | Tucson Orthopaedic Institute Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437193265
PECOS PAC ID: 5799671905
Enrollment ID: O20040225000304 |
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| Entity Name | Emil H Annabi Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245635390
PECOS PAC ID: 0941511109
Enrollment ID: O20150616002315 |
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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 Thaddeus Alexas 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 Thaddeus Alexas Ray, DO
Po Box 31630,
Tucson, AZ 85751-1630
Ph: (520) 784-6200 | Dr Thaddeus Alexas Ray, DO
12315 N Vistoso Park Rd,
Oro Valley, AZ 85755-5819
Ph: (520) 784-6200 |
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