Lori M Bray, PH D LLP in Grand Rapids, MI - Medicare Psychologist Provider

Lori M Bray, PH D LLP is a medicare enrolled "Psychologist" provider in Grand Rapids, Michigan. Her current practice location is 5250 Northland Drive, Suite A, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 361-5001.

Lori M Bray is licensed to practice in Michigan (license number 6301013416) 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 1386710317.

Contact Information

	Lori M Bray, PH D LLP
	5250 Northland Drive, Suite A, Grand Rapids, MI 49525-1040
	(616) 361-5001
	(616) 361-2166

Map and Direction

Healthcare Provider's Profile

Full Name	Lori M Bray
Gender	Female
Speciality	Psychologist
Location	5250 Northland Drive, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386710317
Provider Enumeration Date: 11/28/2006
Last Update Date: 10/01/2007

Medicare PECOS Information:

PECOS PAC ID: 2961568886
Enrollment ID: I20090302000350

Medical Identifiers

Medical identifiers for Lori M Bray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386710317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301013416 (Michigan)	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. Lori M Bray allows following entities to bill medicare on her behalf.

Entity Name	North Kent Guidance Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790799542 PECOS PAC ID: 5193614642 Enrollment ID: O20040312000447

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. Lori M Bray 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
Lori M Bray, PH D LLP 5250 Northland Drive, Suite A, Grand Rapids, MI 49525-1040 Ph: (616) 361-5001	Lori M Bray, PH D LLP 5250 Northland Drive, Suite A, Grand Rapids, MI 49525-1040 Ph: (616) 361-5001

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Lori M Bray, PH D LLP - Medicare Psychologist in Grand Rapids, MI