Dominiquekal Brown Gray, NURSE PRACTITIONER in Frederick, MD

Dominiquekal Brown Gray, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Frederick, Maryland. Her current practice location is 8032c Liberty Rd, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 846-0090.

Dominiquekal Brown Gray is licensed to practice in Maryland (license number AC003096) 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 1306499264.

Contact Information

	Dominiquekal Brown Gray, NURSE PRACTITIONER
	8032c Liberty Rd, Frederick, MD 21701-3239
	(301) 846-0090
	Not Available

Map and Direction

Provider's Profile

Full Name	Dominiquekal Brown Gray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8032c Liberty Rd, Frederick, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306499264
Provider Enumeration Date: 07/19/2019
Last Update Date: 06/03/2020

Medicare PECOS Information:

PECOS PAC ID: 5092139006
Enrollment ID: I20200723002115

Medical Identifiers

Medical identifiers for Dominiquekal Brown Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306499264	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903216 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	AC003096 (Maryland)	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. Dominiquekal Brown Gray allows following entities to bill medicare on her behalf.

Entity Name	Scholar Medical Group Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639796428 PECOS PAC ID: 3072936301 Enrollment ID: O20200706001286

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. Dominiquekal Brown 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
Dominiquekal Brown Gray, NURSE PRACTITIONER 8032c Liberty Rd, Frederick, MD 21701-3239 Ph: (301) 846-0090	Dominiquekal Brown Gray, NURSE PRACTITIONER 8032c Liberty Rd, Frederick, MD 21701-3239 Ph: (301) 846-0090

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928
Linda A Cann, MSN,APRN,FNP,PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 S Jefferson St, Frederick, MD 21701 Phone: 301-663-6135 Fax: 301-663-5738
Regine Josie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1026 Bexhill Dr, Frederick, MD 21702 Phone: 321-482-4933

Dominiquekal Brown Gray, NURSE PRACTITIONER - Medicare Nurse Practitioner in Frederick, MD