Tiney Elizabeth Ray, FNP - Medicare Nurse Practitioner in Port Jefferson Station, NY

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Tiney Elizabeth Ray, FNP is a medicare enrolled "Nurse Practitioner - Family" in Port Jefferson Station, New York. Her current practice location is 19 Mercer St, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (845) 216-9886.

Tiney Elizabeth Ray is licensed to practice in New York (license number F334387) 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 1154331346.

Contact Information

Tiney Elizabeth Ray, FNP
19 Mercer St,
Port Jefferson Station, NY 11776-6106
(845) 216-9886
(631) 828-6869

Map and Direction




Provider's Profile

Full NameTiney Elizabeth Ray
GenderFemale
SpecialityNurse Practitioner - Family
Location19 Mercer St, Port Jefferson Station, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154331346
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870680457
  • Enrollment ID: I20170306002079

Medical Identifiers

Medical identifiers for Tiney Elizabeth Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154331346NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 101.0125069 (Vermont)Secondary
363LF0000XNurse Practitioner - Family F334387 (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. Tiney Elizabeth Ray allows following entities to bill medicare on her behalf.
Entity NameMedoptions Of Vermont Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114479730
PECOS PAC ID: 0547541260
Enrollment ID: O20170111000999
Entity NameLyght Bulb Moments Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720653355
PECOS PAC ID: 5698175214
Enrollment ID: O20210617002520

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. Tiney Elizabeth Ray 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
Tiney Elizabeth Ray, FNP
19 Mercer St,
Port Jefferson Station, NY 11776-6106

Ph: (845) 216-9886		Tiney Elizabeth Ray, FNP
19 Mercer St,
Port Jefferson Station, NY 11776-6106

Ph: (845) 216-9886

Reviews and Comments


Nurse Practitioner Nurses in Port Jefferson Station, NY

Gia Aslanidis,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1404 Sara Cir, Port Jefferson Station, NY 11776
Phone: 516-563-1147    
Uma Narayana, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776
Phone: 631-331-7200    
Jaime Draghi,
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Medicare: Medicare Enrolled
Practice Location: 49 Rte 347, Port Jefferson Station, NY 11776
Phone: 631-751-3000    
Marina Dillon, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 75 N Country Rd, Port Jefferson Station, NY 11777
Phone: 631-805-2150    
Lori Jean Conlin, NURSE PRACTITIONER
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Medicare: Medicare Enrolled
Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776
Phone: 316-897-8006    Fax: 631-751-0506
Ruth Bochat, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarvin Rd, Port Jefferson Station, NY 11776
Phone: 929-429-6861    
Mrs. Julie Ann Pablo, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 126 Greenhaven Dr, Port Jefferson Station, NY 11776
Phone: 631-240-9833    

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.