Jennifer P Gray, MD is a medicare enrolled "Dermatology" physician in Old Saybrook, Connecticut. She went to Columbia University College Of Physicians And Surgeons and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Saybrook Dermatology Llc and her current practice location is
455 Boston Post Rd, Suite 10, Old Saybrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 388-9799.
Jennifer P Gray is licensed to practice in Connecticut (license number 044955) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285644039.
Physician's Profile
Full Name | Jennifer P Gray |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 24 Years |
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Location | 455 Boston Post Rd, Old Saybrook, Connecticut |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer P Gray attended and graduated from Columbia University College Of Physicians And Surgeons in 2000
NPI Data:
- NPI Number: 1285644039
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 02/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 6204879893
- Enrollment ID: I20070605000659
Medical Identifiers
Medical identifiers for Jennifer P Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285644039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 11512 (Rhode Island) | Secondary |
207N00000X | Dermatology | 044955 (Connecticut) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Saybrook Dermatology Llc | 4688663248 | 5 |
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. Jennifer P Gray allows following entities to bill medicare on her behalf.
Entity Name | Saybrook Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902909708 PECOS PAC ID: 4688663248 Enrollment ID: O20040510000040 |
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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. Jennifer P 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 |
Jennifer P Gray, MD 455 Boston Post Rd, Suite 10, Old Saybrook, CT 06475-1516 Ph: (860) 388-9799 | Jennifer P Gray, MD 455 Boston Post Rd, Suite 10, Old Saybrook, CT 06475-1516 Ph: (860) 388-9799 |
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