Tracey Grayer, NURSE PRACTITIONER in Jackson, MS

Tracey Grayer, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Gerontology" in Jackson, Mississippi. Her current practice location is 3502 W Northside Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 362-5321.

Tracey Grayer is licensed to practice in Mississippi (license number 905260) 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 1336868371.

Contact Information

	Tracey Grayer, NURSE PRACTITIONER
	3502 W Northside Dr, Jackson, MS 39213-4454
	(601) 362-5321
	(601) 364-5159

Map and Direction

Provider's Profile

Full Name	Tracey Grayer
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	3502 W Northside Dr, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336868371
Provider Enumeration Date: 08/23/2022
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1951787290
Enrollment ID: I20230929000680

Medical Identifiers

Medical identifiers for Tracey Grayer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336868371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	905260 (Mississippi)	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. Tracey Grayer allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Civic Improvement Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125

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. Tracey Grayer 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
Tracey Grayer, NURSE PRACTITIONER Po Box 545, Madison, MS 39130-0545 Ph: (770) 546-6270	Tracey Grayer, NURSE PRACTITIONER 3502 W Northside Dr, Jackson, MS 39213-4454 Ph: (601) 362-5321

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
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Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Tracey Grayer, NURSE PRACTITIONER - Medicare Nurse Practitioner in Jackson, MS