Mrs Ilya Melina Ray, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Trevor, Wisconsin. Her current practice location is
12530 249th Cir, Trevor, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 298-5251.
Mrs Ilya Melina Ray is licensed to practice in Wisconsin (license number 6368) 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 1447639737.
Provider's Profile
Full Name | Mrs Ilya Melina Ray |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 12530 249th Cir, Trevor, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447639737
- Provider Enumeration Date: 05/20/2015
- Last Update Date: 11/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365758539
- Enrollment ID: I20150902001801
Medical Identifiers
Medical identifiers for Mrs Ilya Melina Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447639737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6368 (Wisconsin) | Primary |
363LF0000X | Nurse Practitioner - Family | 6368-33 (Wisconsin) | Secondary |
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. Mrs Ilya Melina Ray allows following entities to bill medicare on her behalf.
Entity Name | Racine County Finance Department |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144412305 PECOS PAC ID: 7315857448 Enrollment ID: O20130306000516 |
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Entity Name | Vibrant Integrative Psychiatry Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962116459 PECOS PAC ID: 7911362033 Enrollment ID: O20230425001304 |
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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. Mrs Ilya Melina 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 |
Mrs Ilya Melina Ray, FNP 12530 249th Cir, Trevor, WI 53179-9135 Ph: (262) 298-5251 | Mrs Ilya Melina Ray, FNP 12530 249th Cir, Trevor, WI 53179-9135 Ph: (262) 298-5251 |
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