Dr Tashara Natashja Gray, MD in Goodyear, AZ

Dr Tashara Natashja Gray, MD is a medicare enrolled "Pediatrics" physician in Goodyear, Arizona. Her current practice location is 13471 W Cornerstone Blvd, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 964-2273.

Dr Tashara Natashja Gray is licensed to practice in Arizona (license number 61785) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194019398.

Contact Information

	Dr Tashara Natashja Gray, MD
	13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713
	(480) 964-2273
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tashara Natashja Gray
Gender	Female
Speciality	Pediatrics
Location	13471 W Cornerstone Blvd, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194019398
Provider Enumeration Date: 06/06/2011
Last Update Date: 05/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1951559814
Enrollment ID: I20201012001391

Medical Identifiers

Medical identifiers for Dr Tashara Natashja Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194019398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	LL33679 (South Carolina)	Secondary
208000000X	Pediatrics	ME119054 (Florida)	Secondary
208000000X	Pediatrics	61785 (Arizona)	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. Dr Tashara Natashja Gray allows following entities to bill medicare on her behalf.

Entity Name	Adelante Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083772545 PECOS PAC ID: 4688588643 Enrollment ID: O20031114000335

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 Tashara Natashja 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
Dr Tashara Natashja Gray, MD 3033 N Central Ave Ste 145, Phoenix, AZ 85012-2808 Ph: (623) 583-3001	Dr Tashara Natashja Gray, MD 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 Ph: (480) 964-2273

Reviews and Comments

Pediatrics Doctors in Goodyear, AZ

Dr. Julie Quinn Crawford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14541 W Indian School Road, Ste 600, Goodyear, AZ 85395 Phone: 623-535-5599 Fax: 623-535-4696
Joan Helene Kurtz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 16136 W. Indianola Ave., Goodyear, AZ 85395 Phone: 623-266-0388 Fax: 623-256-6328
Jarrett Edward Stewart Riley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9780 S Estrella Pkwy, Goodyear, AZ 85338 Phone: 623-474-8101 Fax: 623-474-8135
Dr. Ellen M Giordano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 623-583-3001
Rachel Levey Caruso, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395 Phone: 877-809-5092 Fax: 623-213-8536
Dr. Raj S Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 N Estrella Pkwy, Suite 20, Goodyear, AZ 85338 Phone: 623-298-4642 Fax: 623-925-9193

Dr Tashara Natashja Gray, MD - Medicare Pediatrics in Goodyear, AZ