Ashly Gray, RN in Kokomo, IN - Medicare Nurse Practitioner

Ashly Gray, RN is a medicare enrolled "Nurse Practitioner" in Kokomo, Indiana. Her current practice location is 2401 Columbus Blvd, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 776-3800.

Ashly Gray is licensed to practice in Indiana (license number 71006347A) 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 1801254081.

Contact Information

	Ashly Gray, RN
	2401 Columbus Blvd, Kokomo, IN 46901-6455
	(765) 776-3800
	(765) 448-7635

Map and Direction

Provider's Profile

Full Name	Ashly Gray
Gender	Female
Speciality	Nurse Practitioner
Location	2401 Columbus Blvd, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801254081
Provider Enumeration Date: 02/03/2016
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 6103118963
Enrollment ID: I20160714001731

Medical Identifiers

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

Identifier	Type	State	Issuer
1801254081	NPI	-	NPPES
000001027156	Other	IN	ANTHEM PROVIDER NUMBER
201372910	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71006347A (Indiana)	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. Ashly Gray allows following entities to bill medicare on her behalf.

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

Entity Name	Indiana Neuro-ophthalmology & Center For Balance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104989011 PECOS PAC ID: 2769588151 Enrollment ID: O20070501000512

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

Entity Name	My Mobile Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225495716 PECOS PAC ID: 1052617826 Enrollment ID: O20160304001699

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. Ashly 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
Ashly Gray, RN 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: (317) 621-7584	Ashly Gray, RN 2401 Columbus Blvd, Kokomo, IN 46901-6455 Ph: (765) 776-3800

Reviews and Comments

Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160

Ashly Gray, RN - Medicare Nurse Practitioner in Kokomo, IN