Shannon Gray, FNP-BC in Florence, AZ - Medicare Nurse Practitioner

Shannon Gray, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Florence, Arizona. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Good Health Medical, Pllc and her current practice location is 174 W Highway 287, Florence, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 868-5811.

Shannon Gray is licensed to practice in Arizona (license number 242590) 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 1770186538.

Contact Information

	Shannon Gray, FNP-BC
	174 W Highway 287, Florence, AZ 85132
	(520) 868-5811
	(520) 868-1223

Map and Direction

Provider's Profile

Full Name	Shannon Gray
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	174 W Highway 287, Florence, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Gray graduated from nursing school in 2020

NPI Data:

NPI Number: 1770186538
Provider Enumeration Date: 11/16/2020
Last Update Date: 09/13/2021

Medicare PECOS Information:

PECOS PAC ID: 0042622177
Enrollment ID: I20201215001365

Medical Identifiers

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

Identifier	Type	State	Issuer
1770186538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	242590 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Good Health Medical, Pllc	3779680962	72

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. Shannon Gray allows following entities to bill medicare on her behalf.

Entity Name	Arizona State Urological Institute Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144231895 PECOS PAC ID: 7719962000 Enrollment ID: O20040621001733

Entity Name	Good Health Medical, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144764432 PECOS PAC ID: 3779680962 Enrollment ID: O20070523000237

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. Shannon 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
Shannon Gray, FNP-BC Po Box 10097, Casa Grande, AZ 85130-0020 Ph: (520) 836-3446	Shannon Gray, FNP-BC 174 W Highway 287, Florence, AZ 85132 Ph: (520) 868-5811

Reviews and Comments

Nurse Practitioner Nurses in Florence, AZ

Lindsay Catherine Radcliffe, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Orlando St, Florence, AZ 85132 Phone: 520-723-6893
Lee Holliday, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 S Main St, Florence, AZ 85132 Phone: 520-868-5811 Fax: 520-868-1223
Gary Michael Rayburn, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4374 E Butte Ave, Florence, AZ 85132 Phone: 520-868-0201
Mrs. Natalie Carol Solis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 174 W, Az-287, Florence, AZ 85132 Phone: 520-868-5811
Patricia Lee Spitsen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 174 Az-287, Florence, AZ 85132 Phone: 520-868-5811
Ryan William Taylor, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1155 N. Pinal Parkway, Central Az Detention Center, Florence, AZ 85132 Phone: 520-868-3668
Emil Douglas Gutierrez Carreon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11308 E Aster Ln, Florence, AZ 85132 Phone: 480-468-8398

Shannon Gray, FNP-BC - Medicare Nurse Practitioner in Florence, AZ