Jon Jordan Gray, MD in Lebanon, NH - Medicare Emergency Medicine

Jon Jordan Gray, MD is a medicare enrolled "Emergency Medicine" physician in Lebanon, New Hampshire. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Dartmouth-hitchcock Clinic and his current practice location is One Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-7254.

Jon Jordan Gray is licensed to practice in New Hampshire (license number 21319) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073044384.

Contact Information

	Jon Jordan Gray, MD
	One Medical Center Dr, Lebanon, NH 03756-0001
	(603) 650-7254
	Not Available

Map and Direction

Physician's Profile

Full Name	Jon Jordan Gray
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	One Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jon Jordan Gray graduated from medical school in 2017

NPI Data:

NPI Number: 1073044384
Provider Enumeration Date: 03/27/2017
Last Update Date: 05/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4082988415
Enrollment ID: I20210519000337

Medical Identifiers

Medical identifiers for Jon Jordan Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073044384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35.138405 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	21319 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital
Alice Peck Day Memorial Hospital	Lebanon, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dartmouth-hitchcock Clinic	4183537509	1138

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. Jon Jordan Gray allows following entities to bill medicare on his behalf.

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

Entity Name	Alice Peck Day Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20040927000296

Entity Name	Alice Peck Day Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20061104000184

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. Jon Jordan 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
Jon Jordan Gray, MD One Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-7254	Jon Jordan Gray, MD One Medical Center Dr, Lebanon, NH 03756-0001 Ph: (603) 650-7254

Reviews and Comments

Emergency Medicine Doctors in Lebanon, NH

Katherine Little, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dept. Of Emer. Med., Lebanon, NH 03756 Phone: 603-650-7254
Douglas A Deaett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Mascoma St, Lebanon, NH 03766 Phone: 603-448-3121 Fax: 603-448-7462
Dr. Karen Michelle Custodio, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Dr. Patricia L Lanter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc - Dept Of Emergency Medicine, Lebanon, NH 03756 Phone: 603-650-7254
Thomas W Trimarco, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Dhmc - Emergency Medicine, Lebanon, NH 03756 Phone: 603-650-7000 Fax: 603-650-4516
Nancy Philips, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Drive, Dartmouth Hithcock Medical Center, Lebanon, NH 03756 Phone: 603-650-7254

Jon Jordan Gray, MD - Medicare Emergency Medicine in Lebanon, NH