Ms Samantha Gray, NP - Medicare Nurse Practitioner in Roslyn Heights, NY

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Ms Samantha Gray, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Roslyn Heights, New York. Her current practice location is 216 Willis Ave, Suite #1, Roslyn Heights, New York. You can reach out to her office (for appointments etc.) via phone at (516) 484-1333.

Ms Samantha Gray is licensed to practice in New York (license number F302283) 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 1235335662.

Contact Information

Ms Samantha Gray, NP
216 Willis Ave, Suite #1,
Roslyn Heights, NY 11577-2125
(516) 484-1333
(516) 621-7158

Map and Direction




Provider's Profile

Full NameMs Samantha Gray
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location216 Willis Ave, Roslyn Heights, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235335662
  • Provider Enumeration Date: 06/22/2007
  • Last Update Date: 08/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2668854795
  • Enrollment ID: I20220805000190

Medical Identifiers

Medical identifiers for Ms Samantha Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235335662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 297896-1 (New York)Secondary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 297896-1 (New York)Secondary
363LA2200XNurse Practitioner - Adult Health F302283 (New York)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 Samantha Gray allows following entities to bill medicare on her behalf.
Entity NameJjg Np In Adult Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487133294
PECOS PAC ID: 1658608658
Enrollment ID: O20190814001742

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 Samantha 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
Ms Samantha Gray, NP
216 Willis Ave, Suite #1,
Roslyn Heights, NY 11577-2125

Ph: (516) 484-1333		Ms Samantha Gray, NP
216 Willis Ave, Suite #1,
Roslyn Heights, NY 11577-2125

Ph: (516) 484-1333

Reviews and Comments


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Phone: 516-621-7720    

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.