Porsha K Gray, PMHNP-BC in Lancaster, CA - Medicare Nurse Practitioner

Porsha K Gray, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lancaster, California. Her current practice location is 506 W Jackman St, Lancaster, California. You can reach out to her office (for appointments etc.) via phone at (661) 802-1467.

Porsha K Gray is licensed to practice in California (license number 95020006) 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 1346981750.

Contact Information

	Porsha K Gray, PMHNP-BC
	506 W Jackman St, Lancaster, CA 93534-2531
	(661) 802-1467
	Not Available

Map and Direction

Provider's Profile

Full Name	Porsha K Gray
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	506 W Jackman St, Lancaster, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346981750
Provider Enumeration Date: 04/07/2022
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4880064518
Enrollment ID: I20221221001617

Medical Identifiers

Medical identifiers for Porsha K Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346981750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95020006 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95020006 (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. Porsha K Gray allows following entities to bill medicare on her behalf.

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

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. Porsha K 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
Porsha K Gray, PMHNP-BC 16145 Apricot Ave, Chino, CA 91708-8875 Ph: (310) 346-5964	Porsha K Gray, PMHNP-BC 506 W Jackman St, Lancaster, CA 93534-2531 Ph: (661) 802-1467

Reviews and Comments

Nurse Practitioner Nurses in Lancaster, CA

Christina Garst, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 East Avenue I, Lancaster, CA 93535 Phone: 661-522-6770
Shalonte Allen-carrasquillo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050
James M Gocke, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45014 10th St W, Suite 109, Lancaster, CA 93534 Phone: 661-942-2391 Fax: 661-723-3769
Jill Diane Jepson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W, Suite 101, Lancaster, CA 93534 Phone: 661-902-5600
Gigi Hammang, MSN, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 547 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-729-8655
Rosanna Edith Salice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000
Min H Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050

Porsha K Gray, PMHNP-BC - Medicare Nurse Practitioner in Lancaster, CA