Charles Lee Gray Jr, FNP-BC in Baileyton, AL - Medicare Nurse Practitioner

Charles Lee Gray Jr, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Baileyton, Alabama. His current practice location is 105 Fire Station Rd, Baileyton, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 735-4057.

Charles Lee Gray Jr is licensed to practice in Alabama (license number 1-102412) 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 1144801143.

Contact Information

	Charles Lee Gray Jr, FNP-BC
	105 Fire Station Rd, Baileyton, AL 35019-9609
	(256) 735-4057
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Lee Gray Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	105 Fire Station Rd, Baileyton, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144801143
Provider Enumeration Date: 04/20/2021
Last Update Date: 07/12/2021

Medicare PECOS Information:

PECOS PAC ID: 7416348644
Enrollment ID: I20211227000000

Medical Identifiers

Medical identifiers for Charles Lee Gray Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144801143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-102412 (Alabama)	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. Charles Lee Gray Jr allows following entities to bill medicare on his behalf.

Entity Name	Daily Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164996757 PECOS PAC ID: 1456691351 Enrollment ID: O20190312002181

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. Charles Lee Gray Jr 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
Charles Lee Gray Jr, FNP-BC 105 Fire Station Rd, Baileyton, AL 35019-9609 Ph: (256) 735-4057	Charles Lee Gray Jr, FNP-BC 105 Fire Station Rd, Baileyton, AL 35019-9609 Ph: (256) 735-4057

Reviews and Comments

Nurse Practitioner Nurses in Baileyton, AL

Buffy Gray, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057
Emily Steely Etheridge, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057
Kindra Edwards, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 Fax: 256-735-4229

Charles Lee Gray Jr, FNP-BC - Medicare Nurse Practitioner in Baileyton, AL