Victoria Lynn Gray, FNP-C is a medicare enrolled "Family Medicine" in Groton, Massachusetts. Her current practice location is
788 Boston Rd, Groton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 449-0282.
Victoria Lynn Gray is licensed to practice in Massachusetts (license number RN2365451) 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 1245939933.
Provider's Profile
Full Name | Victoria Lynn Gray |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 788 Boston Rd, Groton, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245939933
- Provider Enumeration Date: 03/01/2023
- Last Update Date: 09/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456701697
- Enrollment ID: I20240220004608
Medical Identifiers
Medical identifiers for Victoria Lynn Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245939933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN2365451 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | RN2365451 (Massachusetts) | 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. Victoria Lynn Gray allows following entities to bill medicare on her behalf.
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
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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. Victoria Lynn 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 |
Victoria Lynn Gray, FNP-C 788 Boston Rd, Groton, MA 01450-2056 Ph: (978) 449-0282 | Victoria Lynn Gray, FNP-C 788 Boston Rd, Groton, MA 01450-2056 Ph: (978) 449-0282 |
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