Dr Mary Jane Wray, MD, PHD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Bastrop, Texas. She went to University Of Texas Medical Branch At Galveston and graduated in 1974 and has 50 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Community Health Centers Of South Central Texas Inc and her current practice location is
1602 Hill St, Bastrop, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 772-4887.
Dr Mary Jane Wray is licensed to practice in Texas (license number G4757) 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 1588633499.
Physician's Profile
Full Name | Dr Mary Jane Wray |
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Gender | Female |
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Speciality | Pediatric Medicine |
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Experience | 50 Years |
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Location | 1602 Hill St, Bastrop, Texas |
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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:
- Dr Mary Jane Wray attended and graduated from University Of Texas Medical Branch At Galveston in 1974
NPI Data:
- NPI Number: 1588633499
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951386804
- Enrollment ID: I20040623001057
Medical Identifiers
Medical identifiers for Dr Mary Jane Wray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588633499 | NPI | - | NPPES |
0074KV | Other | TX | BCBS PROVIDER ID |
137109801 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0205X | Pediatrics - Pediatric Endocrinology | G4757 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Health Centers Of South Central Texas Inc | 4688650328 | 6 |
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 Mary Jane Wray allows following entities to bill medicare on her behalf.
Entity Name | Community Health Centers Of South Central Texas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285650424 PECOS PAC ID: 4688650328 Enrollment ID: O20040624001546 |
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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 Mary Jane Wray 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 Mary Jane Wray, MD, PHD Po Box 1890, Gonzales, TX 78629-1390 Ph: (830) 672-6511 | Dr Mary Jane Wray, MD, PHD 1602 Hill St, Bastrop, TX 78602-2525 Ph: (512) 772-4887 |
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