Destiny Ray, CRNP in California, PA - Medicare Nurse Practitioner

Destiny Ray, CRNP is a medicare enrolled "Nurse Practitioner" in California, Pennsylvania. Her current practice location is 1153 Wood Street, California, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 223-1067.

Destiny Ray is licensed to practice in Pennsylvania (license number SP028708) 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 1790550820.

Contact Information

	Destiny Ray, CRNP
	1153 Wood Street, California, PA 15419-4062
	(724) 223-1067
	Not Available

Map and Direction

Provider's Profile

Full Name	Destiny Ray
Gender	Female
Speciality	Nurse Practitioner
Location	1153 Wood Street, California, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790550820
Provider Enumeration Date: 11/20/2023
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6507209731
Enrollment ID: I20240205003309

Medical Identifiers

Medical identifiers for Destiny Ray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790550820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP028708 (Pennsylvania)	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. Destiny Ray allows following entities to bill medicare on her behalf.

Entity Name	Centerville Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801877048 PECOS PAC ID: 7214837202 Enrollment ID: O20040427000681

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. Destiny Ray 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
Destiny Ray, CRNP 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: () -	Destiny Ray, CRNP 1153 Wood Street, California, PA 15419-4062 Ph: (724) 223-1067

Reviews and Comments

Nurse Practitioner Nurses in California, PA

Frances Fayish, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 University Ave, California, PA 15419 Phone: 724-938-5922 Fax: 724-938-4509
Beth Theis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 3rd St, California, PA 15419 Phone: 724-938-7466 Fax: 724-938-7470
Ms. Mary Sue Capella, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1152 Wood Street, California, PA 15419 Phone: 724-938-2122 Fax: 724-938-7853
Erika Rae Robaugh, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1152 Wood St, California, PA 15419 Phone: 724-938-2122

Destiny Ray, CRNP - Medicare Nurse Practitioner in California, PA