Ms Eleasha R Gray, C-FNP in Stockbridge, GA - Medicare Nurse Practitioner

Ms Eleasha R Gray, C-FNP is a medicare enrolled "Nurse Practitioner - Family" in Stockbridge, Georgia. Her current practice location is 165 North Park Trail, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 506-1800.

Ms Eleasha R Gray is licensed to practice in Georgia (license number RN121625) 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 1023264876.

Contact Information

	Ms Eleasha R Gray, C-FNP
	165 North Park Trail, Stockbridge, GA 30281-5086
	(770) 506-1800
	(770) 389-5947

Map and Direction

Provider's Profile

Full Name	Ms Eleasha R Gray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	165 North Park Trail, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023264876
Provider Enumeration Date: 08/12/2008
Last Update Date: 07/06/2012

Medicare PECOS Information:

PECOS PAC ID: 2769558048
Enrollment ID: I20080910000544

Medical Identifiers

Medical identifiers for Ms Eleasha R Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023264876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN121625 (Georgia)	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. Ms Eleasha R Gray allows following entities to bill medicare on her behalf.

Entity Name	Interventional Spine And Pain Management Center, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066

Entity Name	Ngx Lawrenceville Ga Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730804642 PECOS PAC ID: 4587034459 Enrollment ID: O20230110003110

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. Ms Eleasha R 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
Ms Eleasha R Gray, C-FNP 165 North Park Trail, Stockbridge, GA 30281-5086 Ph: (770) 506-1800	Ms Eleasha R Gray, C-FNP 165 North Park Trail, Stockbridge, GA 30281-5086 Ph: (770) 506-1800

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213

Ms Eleasha R Gray, C-FNP - Medicare Nurse Practitioner in Stockbridge, GA