Mr Travis Albert Gray, MFT in Allentown, PA - Medicare Counselor Provider

Mr Travis Albert Gray, MFT is a medicare enrolled "Counselor - Professional" provider in Allentown, Pennsylvania. His current practice location is 2047 Pa-309, Allentown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 276-4646.

Mr Travis Albert Gray is licensed to practice in Pennsylvania (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316610025.

Contact Information

	Mr Travis Albert Gray, MFT
	2047 Pa-309, Allentown, PA 18104
	(484) 276-4646
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Travis Albert Gray
Gender	Male
Speciality	Counselor - Professional
Location	2047 Pa-309, Allentown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316610025
Provider Enumeration Date: 07/28/2021
Last Update Date: 11/16/2021

Medicare PECOS Information:

PECOS PAC ID: 3072956143
Enrollment ID: I20240206000229

Medical Identifiers

Medical identifiers for Mr Travis Albert Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316610025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(Pennsylvania)	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(Pennsylvania)	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. Mr Travis Albert Gray allows following entities to bill medicare on his behalf.

Entity Name	The Calm Space Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174134191 PECOS PAC ID: 3274952163 Enrollment ID: O20200925001361

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 Travis Albert 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 Travis Albert Gray, MFT 2047 Pa-309, Allentown, PA 18104 Ph: (484) 554-6310	Mr Travis Albert Gray, MFT 2047 Pa-309, Allentown, PA 18104 Ph: (484) 276-4646

Reviews and Comments

Counselor in Allentown, PA

Kadey Soren, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N 7th St, Allentown, PA 18102 Phone: 484-221-9136 Fax: 484-221-9130
Ann Friedenheim, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 S Cedar Crest Blvd, Suite 101, Allentown, PA 18103 Phone: 610-462-2549
Sophia Sealy, Counselor Medicare: Medicare Enrolled Practice Location: 527 Hamilton St Ste 201, Allentown, PA 18101 Phone: 484-284-0342 Fax: 484-212-9884
Nikole Marie Krosecz, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E Green St, Allentown, PA 18109 Phone: 610-799-8910
Anna Junge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 N Cedar Crest Blvd Ste 75, Allentown, PA 18104 Phone: 484-619-2505
Richard Bogert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17th & Chew Streets, 3rd Floor, Allentown, PA 18104 Phone: 610-402-1155
Ms. Sara Alyica Albrecht, L.P.C, M.A, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 N Cedar Crest Blvd Ste 520, Allentown, PA 18104 Phone: 610-437-4577 Fax: 610-437-6877

Mr Travis Albert Gray, MFT - Medicare Counselor in Allentown, PA