Ashley D Gray, FNP is a medicare enrolled "Nurse Practitioner - Family" in Enterprise, Mississippi. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Anderson Regional Medical Center and her current practice location is
83a Old Mill Creek Rd, Enterprise, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 704-1020.
Ashley D Gray is licensed to practice in Mississippi (license number R876926) 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 1154629178.
Provider's Profile
| Full Name | Ashley D Gray |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 83a Old Mill Creek Rd, Enterprise, Mississippi |
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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. |
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Medical Education and Training:
- Ashley D Gray graduated from nursing school in 2010
NPI Data:
- NPI Number: 1154629178
- Provider Enumeration Date: 03/01/2011
- Last Update Date: 05/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 2062683949
- Enrollment ID: I20110926000712
Medical Identifiers
Medical identifiers for Ashley D Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154629178 | NPI | - | NPPES |
| 09337094 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R876926 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anderson Regional Medical Center | 4284548025 | 31 |
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. Ashley D Gray allows following entities to bill medicare on her behalf.
| Entity Name | Anderson Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972720175
PECOS PAC ID: 4284548025
Enrollment ID: O20031117000522 |
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| Entity Name | Medical Services Of Meridian Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174095988
PECOS PAC ID: 7315285376
Enrollment ID: O20190218000483 |
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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. Ashley D 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 |
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Ashley D Gray, FNP
83a Old Mill Creek Rd,
Enterprise, MS 39330-9649
Ph: (601) 704-1020 | Ashley D Gray, FNP
83a Old Mill Creek Rd,
Enterprise, MS 39330-9649
Ph: (601) 704-1020 |
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