Ebonie Gray, RN, APNP, FNP-BC in Oak Creek, WI

Ebonie Gray, RN, APNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Oak Creek, Wisconsin. Her current practice location is 7901 S 6th St, Oak Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 346-8000.

Ebonie Gray is licensed to practice in Wisconsin (license number 4309-33) 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 1982840757.

Contact Information

	Ebonie Gray, RN, APNP, FNP-BC
	7901 S 6th St, Oak Creek, WI 53154-2010
	(414) 346-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ebonie Gray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7901 S 6th St, Oak Creek, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982840757
Provider Enumeration Date: 12/30/2008
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1759564370
Enrollment ID: I20110318000854

Medical Identifiers

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

Identifier	Type	State	Issuer
1982840757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	137516-030 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	4309-33 (Wisconsin)	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. Ebonie Gray allows following entities to bill medicare on her behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Ebonie 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
Ebonie Gray, RN, APNP, FNP-BC 7901 S 6th St, Oak Creek, WI 53154-2010 Ph: (414) 346-8000	Ebonie Gray, RN, APNP, FNP-BC 7901 S 6th St, Oak Creek, WI 53154-2010 Ph: (414) 346-8000

Reviews and Comments

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Ms. Tamara Perryman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 W Riverside Dr, Oak Creek, WI 53154 Phone: 414-426-0467
Jodi Kruszka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 E Manitowoc Avenue, Oak Creek, WI 53154 Phone: 414-550-1962
Miss Jessica Lee Noll, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8280

Ebonie Gray, RN, APNP, FNP-BC - Medicare Nurse Practitioner in Oak Creek, WI