Jennifer Diane Gray, LCSW in Prescott, AZ - Medicare Counselor Provider

Jennifer Diane Gray, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Prescott, Arizona. Her current practice location is 510 E Moeller St, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 420-8300.

Jennifer Diane Gray is licensed to practice in * (Not Available) (license number ) 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 1770951725.

Contact Information

	Jennifer Diane Gray, LCSW
	510 E Moeller St, Prescott, AZ 86301
	(928) 420-8300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Diane Gray
Gender	Female
Speciality	Counselor - Mental Health
Location	510 E Moeller St, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770951725
Provider Enumeration Date: 09/08/2015
Last Update Date: 10/25/2021

Medicare PECOS Information:

PECOS PAC ID: 4486043486
Enrollment ID: I20230309000767

Medical Identifiers

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

Identifier	Type	State	Issuer
1770951725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Jennifer Diane Gray allows following entities to bill medicare on her behalf.

Entity Name	Prescott Relationship Center, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700365467 PECOS PAC ID: 4789057951 Enrollment ID: O20230309000693

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. Jennifer Diane 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
Jennifer Diane Gray, LCSW 825 N. 4th St, Cottonwood, AZ 86326 Ph: (530) 277-6167	Jennifer Diane Gray, LCSW 510 E Moeller St, Prescott, AZ 86301 Ph: (928) 420-8300

Reviews and Comments

Counselor in Prescott, AZ

Mr. Gary Hees, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-778-4600 Fax: 928-778-2221
Ms. Deborah Kay Carson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1678 Oaklawn Dr, Prescott, AZ 86305 Phone: 928-533-7527 Fax: 928-708-0120
Mrs. Gail Ann Wagner, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 E Merritt St, Prescott, AZ 86301 Phone: 928-445-5027 Fax: 928-445-7071
Ms. Mary Jo Fleming, M.A. PROFESSIONAL CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 919 12th Place Ste 13, Recovery In The Pines, Prescott, AZ 86301 Phone: 928-227-2967
Colleen M Tretton, LPC, SEP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 W Granite Oaks Dr, Prescott, AZ 86305 Phone: 928-308-3129
Mr. William James Bilbray, MS, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 W Hillside Ave, Prescott, AZ 86301 Phone: 928-710-9229 Fax: 928-710-9229
Ms. Bonnie D Grossman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Whipple St, Prescott, AZ 86301 Phone: 928-308-9050

Jennifer Diane Gray, LCSW - Medicare Counselor in Prescott, AZ