Robert Bourdeaux Gray, MD is a medicare enrolled "Emergency Medicine" physician in Berea, Kentucky. His current practice location is
305 Estill St, Berea, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 986-3151.
Robert Bourdeaux Gray is licensed to practice in Kentucky (license number 35942) 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 1811942014.
Physician's Profile
Full Name | Robert Bourdeaux Gray |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 305 Estill St, Berea, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811942014
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 09/24/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153379870
- Enrollment ID: I20130508000546
Medical Identifiers
Medical identifiers for Robert Bourdeaux Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811942014 | NPI | - | NPPES |
64018179 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35942 (Kentucky) | 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. Robert Bourdeaux Gray allows following entities to bill medicare on his behalf.
Entity Name | Greater Mobile Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801063938 PECOS PAC ID: 1456429281 Enrollment ID: O20081007000622 |
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Entity Name | Gmuc Of Springhill Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952617508 PECOS PAC ID: 6901091156 Enrollment ID: O20101112000731 |
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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. Robert Bourdeaux 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 |
Robert Bourdeaux Gray, MD 4390 Clearwater Way, Apt 1110, Lexington, KY 40515-6359 Ph: (859) 971-2279 | Robert Bourdeaux Gray, MD 305 Estill St, Berea, KY 40403-1742 Ph: (859) 986-3151 |
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