Keith Gray, OD in Memphis, TN - Medicare Optometrist Provider

Keith Gray, OD is a medicare enrolled "Optometrist" provider in Memphis, Tennessee. His current practice location is 1299 Southland Mall, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 396-3742.

Keith Gray is licensed to practice in Tennessee (license number 1153DT) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063465391.

Contact Information

	Keith Gray, OD
	1299 Southland Mall, Memphis, TN 38116-7807
	(901) 396-3742
	(901) 396-9744

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Gray
Gender	Male
Speciality	Optometrist
Location	1299 Southland Mall, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063465391
Provider Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1052419892
Enrollment ID: I20070601000561

Medical Identifiers

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

Identifier	Type	State	Issuer
1063465391	NPI	-	NPPES
4118471	Other	TN	BCBS
21873	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1153DT (Tennessee)	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. Keith Gray allows following entities to bill medicare on his behalf.

Provider Name	Ky Doctors Of Optometry Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194739490 PECOS PAC ID: 0941108732 Enrollment ID: O20040920001189

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. Keith 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
Keith Gray, OD 1299 Southland Mall, Memphis, TN 38116-7807 Ph: (901) 396-3742	Keith Gray, OD 1299 Southland Mall, Memphis, TN 38116-7807 Ph: (901) 396-3742

Reviews and Comments

Optometrist in Memphis, TN

Dr. Seth Aaron Salley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 618 Oakleaf Office Ln Ste 100, Memphis, TN 38117 Phone: 901-821-8337 Fax: 901-379-8297
Dr. Carrie Tobin Irvine, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1714 W Massey Rd, Memphis, TN 38120 Phone: 901-685-5520 Fax: 901-685-0782
Shaleen Ragha, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7825 Winchester Rd Ste 117, Memphis, TN 38125 Phone: 901-365-9732 Fax: 901-375-9005
Dr. Azalia Rochelle Roach, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1245 Madison Ave, Memphis, TN 38104 Phone: 901-722-3200
Dr. Daniel Gunn Fuller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1225 Madison Ave, Memphis, TN 38104 Phone: 901-722-3319 Fax: 901-722-3394
Dr. Michael T Christensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1225 Madison Ave, Memphis, TN 38104 Phone: 901-722-3250 Fax: 901-722-3247

Keith Gray, OD - Medicare Optometrist in Memphis, TN