Kristen David Gray, MD in Ormond Beach, FL

Kristen David Gray, MD is a medicare enrolled "Family Medicine" physician in Ormond Beach, Florida. His current practice location is 290 Clyde Morris Blvd Ste C2, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 259-6026.

Kristen David Gray is licensed to practice in Florida (license number ME85090) 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 1861481517.

Contact Information

	Kristen David Gray, MD
	290 Clyde Morris Blvd Ste C2, Ormond Beach, FL 32174-8204
	(386) 259-6026
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristen David Gray
Gender	Male
Speciality	Family Medicine
Location	290 Clyde Morris Blvd Ste C2, Ormond Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861481517
Provider Enumeration Date: 10/17/2005
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 7911802442
Enrollment ID: I20100331000996

Medical Identifiers

Medical identifiers for Kristen David Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861481517	NPI	-	NPPES
593339550	Other	FL	TAX IDENTIFICATION NUMBER
592696120	Other	FL	TAX IDENIFICATION
264274300	Medicaid	FL
K9529	Other	FL	MEDICARE GROUP NUMBER
593339550	Other	FL	WINTER PARK FAMILY HEALTH CENTER, INC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME85090 (Florida)	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. Kristen David Gray allows following entities to bill medicare on his behalf.

Entity Name	Adventhealth Senior Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336756204 PECOS PAC ID: 7618397886 Enrollment ID: O20201009001594

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. Kristen David 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
Kristen David Gray, MD 290 Clyde Morris Blvd Ste C2, Ormond Beach, FL 32174-8204 Ph: (386) 259-6026	Kristen David Gray, MD 290 Clyde Morris Blvd Ste C2, Ormond Beach, FL 32174-8204 Ph: (386) 259-6026

Reviews and Comments

Family Medicine Doctors in Ormond Beach, FL

Dr. Richard Branoff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 545 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-6243 Fax: 386-677-7463
Teresa Hernandez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1184 Ocean Shore Blvd, Ormond Beach, FL 32176 Phone: 386-481-6102
Dr. Craig Allan Miller, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Hand Ave, Suite K, Ormond Beach, FL 32174 Phone: 386-673-0517 Fax: 386-671-2771
Dr. Sandford H. Kinne Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174 Phone: 386-677-5600 Fax: 386-677-5686
Dr. Therese A Ibrahim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174 Phone: 386-615-8122 Fax: 844-899-3686
Dr. Donald Benett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 731327, Ormond Beach, FL 32173 Phone: 386-677-6644
Lisa Gonsalves, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 335 Clyde Morris Blvd, Suite 240, Ormond Beach, FL 32174 Phone: 386-231-3561 Fax: 386-677-6501

Kristen David Gray, MD - Medicare Family Medicine in Ormond Beach, FL