Mrs Nicole Gray, - Medicare Nurse Practitioner in White Hall, AR

Mrs Nicole Gray, is a medicare enrolled "Nurse Practitioner - Family" in White Hall, Arkansas. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Arkansas Emergency Physicians Llp and her current practice location is 3103 Holiday Dr, White Hall, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 413-9528.

Mrs Nicole Gray is licensed to practice in Arkansas (license number A006211) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790349462.

Contact Information

Mrs Nicole Gray,
3103 Holiday Dr,
White Hall, AR 71602-9559
(870) 413-9528
(870) 541-6434

Map and Direction




Provider's Profile

Full NameMrs Nicole Gray
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location3103 Holiday Dr, White Hall, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Nicole Gray graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1790349462
  • Provider Enumeration Date: 04/27/2019
  • Last Update Date: 04/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7012327992
  • Enrollment ID: I20201104000688

Medical Identifiers

Medical identifiers for Mrs Nicole Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790349462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A006211 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Arkansas Emergency Physicians Llp620414631916

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 Nicole Gray allows following entities to bill medicare on her behalf.
Entity NameSoutheast Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647

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 Nicole 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
Mrs Nicole Gray,
3103 Holiday Dr,
White Hall, AR 71602-9559

Ph: (870) 413-9528
Mrs Nicole Gray,
3103 Holiday Dr,
White Hall, AR 71602-9559

Ph: (870) 413-9528

Reviews and Comments


Nurse Practitioner Nurses in White Hall, AR

Raluca Tudoreanu,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 Frankie Ln, White Hall, AR 71602
Phone: 870-247-6105    
Melanie Shevonne Bolen, DNP, APRN-CNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1600 W Holland Ave, White Hall, AR 71602
Phone: 870-619-4451    
Estee Sneed, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 W Holland Ave, Suite 202, White Hall, AR 71602
Phone: 870-850-8055    Fax: 870-850-8056
Jamie Aud, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1600 W Holland Ave Ste 202, White Hall, AR 71602
Phone: 870-850-8055    Fax: 870-850-8056
Karla Young, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7245 Sheridan Rd, White Hall, AR 71602
Phone: 870-850-8055    Fax: 870-850-8056
Theresa Ann Lybrand, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 Frankie Ln, White Hall, AR 71602
Phone: 870-247-6160    
Lesia Pratt, AGPCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3180 Mae Dr, White Hall, AR 71602
Phone: 870-209-9589    

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).

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