Mahala Gray, APRN, CNP in Centerville, OH - Medicare Nurse Practitioner

Mahala Gray, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Centerville, Ohio. Her current practice location is 1095 S Main St, Centerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 528-7070.

Mahala Gray is licensed to practice in Ohio (license number APRN.CNP.0032481) 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 1780397646.

Contact Information

	Mahala Gray, APRN, CNP
	1095 S Main St, Centerville, OH 45458-3840
	(937) 528-7070
	Not Available

Map and Direction

Provider's Profile

Full Name	Mahala Gray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1095 S Main St, Centerville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780397646
Provider Enumeration Date: 01/05/2023
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 4880066646
Enrollment ID: I20230206000352

Medical Identifiers

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

Identifier	Type	State	Issuer
1780397646	NPI	-	NPPES
APRN.CNP.0032481	Other	OH	OHIO BOARD OF NURSING
RN.443268	Other	OH	OHIO BOARD OF NURSING
F07220675	Other	OH	AANP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN.443268 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0032481 (Ohio)	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. Mahala Gray allows following entities to bill medicare on her behalf.

Entity Name	The Little Clinic Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336

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. Mahala 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
Mahala Gray, APRN, CNP 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () -	Mahala Gray, APRN, CNP 1095 S Main St, Centerville, OH 45458-3840 Ph: (937) 528-7070

Reviews and Comments

Nurse Practitioner Nurses in Centerville, OH

Brittany Renee Montgomery, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5400 Cornerstone North Blvd, Centerville, OH 45440 Phone: 937-528-7070
Mr. Benjamin Daniel Malcolm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 S Main St, Centerville, OH 45458 Phone: 937-439-8622
Heather Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-438-2400
Eric Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6611 Clyo Rd, Centerville, OH 45459 Phone: 937-208-8282
Terri M Caputo-jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 N Main St, Centerville, OH 45459 Phone: 937-435-1445 Fax: 937-439-7552
Alysha Weeter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Amber Dr, Centerville, OH 45458 Phone: 937-510-4075
Marie Middleton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7740 Washington Village Dr, Ste 120, Centerville, OH 45459 Phone: 937-439-7411 Fax: 937-433-8030

Mahala Gray, APRN, CNP - Medicare Nurse Practitioner in Centerville, OH