Viviene Verona Gray, FNP-C, PMHNP-BC in Orlando, FL

Viviene Verona Gray, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orlando, Florida. Her current practice location is 6545 Corporate Centre Blvd Ste 240, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 641-0478.

Viviene Verona Gray is licensed to practice in Georgia (license number 176138) 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 1275005449.

Contact Information

	Viviene Verona Gray, FNP-C, PMHNP-BC
	6545 Corporate Centre Blvd Ste 240, Orlando, FL 32822-3217
	(407) 641-0478
	Not Available

Map and Direction

Provider's Profile

Full Name	Viviene Verona Gray
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6545 Corporate Centre Blvd Ste 240, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275005449
Provider Enumeration Date: 12/27/2018
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 0749666972
Enrollment ID: I20220926001976

Medical Identifiers

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

Identifier	Type	State	Issuer
1275005449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	APRN11020332 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	176138 (Georgia)	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. Viviene Verona Gray allows following entities to bill medicare on her behalf.

Entity Name	Aspire Health Partners, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821033903 PECOS PAC ID: 8325936446 Enrollment ID: O20040309000953

Entity Name	Landmark Medical Of Florida Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639888571 PECOS PAC ID: 7810369725 Enrollment ID: O20230202000078

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. Viviene Verona 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
Viviene Verona Gray, FNP-C, PMHNP-BC 7101 Secret Rose, Douglasville, GA 30134-1669 Ph: (678) 914-2806	Viviene Verona Gray, FNP-C, PMHNP-BC 6545 Corporate Centre Blvd Ste 240, Orlando, FL 32822-3217 Ph: (407) 641-0478

Reviews and Comments

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Viviene Verona Gray, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Orlando, FL