Mrs Samantha Elizabeth Gray, - Medicare Nurse Practitioner in Greenville, SC

Mrs Samantha Elizabeth Gray, is a medicare enrolled "Nurse Practitioner - Acute Care" in Greenville, South Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health University Medical Group and her current practice location is 890 W Faris Rd Ste 580, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 455-7874.

Mrs Samantha Elizabeth Gray is licensed to practice in South Carolina (license number 25578) 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 1588320188.

Contact Information

Mrs Samantha Elizabeth Gray,
890 W Faris Rd Ste 580,
Greenville, SC 29605-4281
(864) 455-7874
(864) 455-8933

Map and Direction




Provider's Profile

Full NameMrs Samantha Elizabeth Gray
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location890 W Faris Rd Ste 580, Greenville, South Carolina
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 Samantha Elizabeth Gray graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1588320188
  • Provider Enumeration Date: 11/09/2021
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032501283
  • Enrollment ID: I20220119003025

Medical Identifiers

Medical identifiers for Mrs Samantha Elizabeth Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588320188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 25578 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Greenville Memorial HospitalGreenville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832206

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 Samantha Elizabeth Gray allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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 Samantha Elizabeth 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 Samantha Elizabeth Gray,
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603
Mrs Samantha Elizabeth Gray,
890 W Faris Rd Ste 580,
Greenville, SC 29605-4281

Ph: (864) 455-7874

Reviews and Comments


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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.