Dr Temora Gray, PHD, BCBA in Universal City, TX - Medicare Psychologist Provider

Dr Temora Gray, PHD, BCBA is a medicare enrolled "Psychologist" provider in Universal City, Texas. Her current practice location is 1001 Pat Brooker Road, Suite 207, Universal City, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 903-0130.

Dr Temora Gray is licensed to practice in Texas (license number 37702) 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 1871950048.

Contact Information

	Dr Temora Gray, PHD, BCBA
	1001 Pat Brooker Road, Suite 207, Universal City, TX 78148
	(210) 903-0130
	(800) 383-9015

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Temora Gray
Gender	Female
Speciality	Psychologist
Location	1001 Pat Brooker Road, Universal City, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871950048
Provider Enumeration Date: 01/19/2016
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6800213604
Enrollment ID: I20200825001715

Medical Identifiers

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

Identifier	Type	State	Issuer
1871950048	NPI	-	NPPES
405456102	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	37702 (Texas)	Secondary
103T00000X	Psychologist	37702 (Texas)	Primary
103K00000X	Behavior Analyst	1-15-19471 (Texas)	Secondary

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. Dr Temora Gray allows following entities to bill medicare on her behalf.

Entity Name	Health And Human Services Commission
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058

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. Dr Temora 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
Dr Temora Gray, PHD, BCBA 9303 Avondale Park, Converse, TX 78109-0357 Ph: (917) 783-8065	Dr Temora Gray, PHD, BCBA 1001 Pat Brooker Road, Suite 207, Universal City, TX 78148 Ph: (210) 903-0130

Reviews and Comments

Psychologist in Universal City, TX

Steven A Logsdon, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 433 Kitty Hawk Rd, Ste 219, Universal City, TX 78148 Phone: 210-658-6410 Fax: 210-531-7334
Dr. Katherine Martin Kainer, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 241 Shadow Ter, Universal City, TX 78148 Phone: 361-850-0987

Dr Temora Gray, PHD, BCBA - Medicare Psychologist in Universal City, TX