Mrs Stephanie Bray, in Los Angeles, CA - Medicare Nurse Practitioner

Mrs Stephanie Bray, is a medicare enrolled "Nurse Practitioner" in Los Angeles, California. Her current practice location is 127 S San Vicente Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (424) 315-2615.

Mrs Stephanie Bray is licensed to practice in California (license number 95017553) 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 1245903616.

Contact Information

	Mrs Stephanie Bray,
	127 S San Vicente Blvd, Los Angeles, CA 90048-3311
	(424) 315-2615
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Bray
Gender	Female
Speciality	Nurse Practitioner
Location	127 S San Vicente Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245903616
Provider Enumeration Date: 07/30/2021
Last Update Date: 04/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9133502016
Enrollment ID: I20220810003540

Medical Identifiers

Medical identifiers for Mrs Stephanie Bray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245903616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017553 (California)	Secondary
363L00000X	Nurse Practitioner	95017553 (California)	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. Mrs Stephanie Bray allows following entities to bill medicare on her behalf.

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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 Stephanie Bray 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 Stephanie Bray, 127 S San Vicente Blvd, Los Angeles, CA 90048-3311 Ph: (000) 000-0000	Mrs Stephanie Bray, 127 S San Vicente Blvd, Los Angeles, CA 90048-3311 Ph: (424) 315-2615

Reviews and Comments

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Mrs Stephanie Bray, - Medicare Nurse Practitioner in Los Angeles, CA