Mr Stanford J Gray, LCSW in Jonesboro, AR - Medicare Clinical Social Worker Provider

Mr Stanford J Gray, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Jonesboro, Arkansas. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Edgar-gray Counseling Pllc, Edgar-gray Counseling Pllc and his current practice location is 2909 King St Ste A, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 351-5020.

Mr Stanford J Gray is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528002078.

Contact Information

	Mr Stanford J Gray, LCSW
	2909 King St Ste A, Jonesboro, AR 72401-5326
	(870) 351-5020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Stanford J Gray
Gender	Male
Speciality	Clinical Social Worker
Experience	21 Years
Location	2909 King St Ste A, Jonesboro, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Stanford J Gray graduated from medical school in 2003

NPI Data:

NPI Number: 1528002078
Provider Enumeration Date: 06/15/2006
Last Update Date: 03/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7113948019
Enrollment ID: I20051207000527

Medical Identifiers

Medical identifiers for Mr Stanford J Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528002078	NPI	-	NPPES
171752795	Medicaid	AR
5Y583	Other	AR	BLUE CROSS NUMBER
5Y583	Other	AR	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1979-C (Arkansas)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edgar-gray Counseling Pllc	7810258589	3
Edgar-gray Counseling Pllc	7810258589	3

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. Mr Stanford J Gray allows following entities to bill medicare on his behalf.

Entity Name	Edgar-gray Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972010106 PECOS PAC ID: 7810258589 Enrollment ID: O20180221002328

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. Mr Stanford J 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
Mr Stanford J Gray, LCSW 2909 King St Ste A, Jonesboro, AR 72401-5326 Ph: (870) 351-5020	Mr Stanford J Gray, LCSW 2909 King St Ste A, Jonesboro, AR 72401-5326 Ph: (870) 351-5020

Mr Stanford J Gray, LCSW - Medicare in Jonesboro, AR