Michael Shane Gray, APRN - Medicare Nurse Practitioner in Hopkinsville, KY

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Michael Shane Gray, APRN is a medicare enrolled "Nurse Practitioner - Family" in Hopkinsville, Kentucky. His current practice location is 10755 Eagle Way, Hopkinsville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 887-0270.

Michael Shane Gray is licensed to practice in Kentucky (license number 3018060) 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 1679292866.

Contact Information

Michael Shane Gray, APRN
10755 Eagle Way,
Hopkinsville, KY 42240-8742
(270) 887-0270
Not Available

Map and Direction




Provider's Profile

Full NameMichael Shane Gray
GenderMale
SpecialityNurse Practitioner - Family
Location10755 Eagle Way, Hopkinsville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679292866
  • Provider Enumeration Date: 08/23/2022
  • Last Update Date: 08/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305213976
  • Enrollment ID: I20221110002536

Medical Identifiers

Medical identifiers for Michael Shane Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679292866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3018060 (Kentucky)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. Michael Shane Gray allows following entities to bill medicare on his behalf.
Entity NameJennie Stuart Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235139312
PECOS PAC ID: 4183607252
Enrollment ID: O20040609001506
Entity NameFairview Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821385329
PECOS PAC ID: 7012187925
Enrollment ID: O20110901000656

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. Michael Shane 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 AddressPractice Location Address
Michael Shane Gray, APRN
320 W 18th St,
Hopkinsville, KY 42240-1965

Ph: (270) 887-0100		Michael Shane Gray, APRN
10755 Eagle Way,
Hopkinsville, KY 42240-8742

Ph: (270) 887-0270

Reviews and Comments


Nurse Practitioner Nurses in Hopkinsville, KY

Abby Jo Lara, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 500 Clinic Dr, Hopkinsville, KY 42240
Phone: 270-707-3354    Fax: 270-707-3351
Kayla Brooke Creekmur, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 2955 Fort Campbell Blvd, Hopkinsville, KY 42240
Phone: 270-632-1548    
Seon Hui Balistrere, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1724 Kenton St Ste 1b, Hopkinsville, KY 42240
Phone: 270-886-8840    
Hope B Clark, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1717 High St Ste 4b, Hopkinsville, KY 42240
Phone: 270-887-9058    Fax: 270-997-9341
Amy Michelle Barnes,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1724 Kenton St Ste 1b, Hopkinsville, KY 42240
Phone: 270-886-8840    Fax: 270-886-8869
Mrs. Lauren Ellen Gary, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 270 Burley Ave, Hopkinsville, KY 42240
Phone: 270-887-6767    
Lakaya Johnson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 270 Walton Way, Hopkinsville, KY 42240
Phone: 270-886-1919    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.