Dr Jonathan Russell Gray, DDS in Fargo, ND

Dr Jonathan Russell Gray, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fargo, North Dakota. His current practice location is 4344 20th Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 239-5969.

Dr Jonathan Russell Gray is licensed to practice in North Dakota (license number 2096) 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 1508048521.

Contact Information

	Dr Jonathan Russell Gray, DDS
	4344 20th Ave S, Fargo, ND 58103-7436
	(701) 239-5969
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Russell Gray
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	4344 20th Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508048521
Provider Enumeration Date: 11/30/2007
Last Update Date: 08/19/2011

Medicare PECOS Information:

PECOS PAC ID: 5597933358
Enrollment ID: I20110721000417

Medical Identifiers

Medical identifiers for Dr Jonathan Russell Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508048521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	2096 (North Dakota)	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. Dr Jonathan Russell Gray allows following entities to bill medicare on his behalf.

Entity Name	Face And Jaw Surgeons Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184667305 PECOS PAC ID: 1153311881 Enrollment ID: O20040514000837

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. Dr Jonathan Russell 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
Dr Jonathan Russell Gray, DDS 4344 20th Ave S, Fargo, ND 58103-7436 Ph: (701) 239-5969	Dr Jonathan Russell Gray, DDS 4344 20th Ave S, Fargo, ND 58103-7436 Ph: (701) 239-5969

Reviews and Comments

Dentist in Fargo, ND

Dr. James Fred Lundstrom, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4110 40th St S, Fargo, ND 58104 Phone: 701-293-7718 Fax: 701-293-1296
Arjan Majidian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1231 27th St S Ste B, Fargo, ND 58103 Phone: 424-333-8134
Dr. James J Colbert, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3210 18th St S, Suite B, Fargo, ND 58104 Phone: 701-237-6008 Fax: 701-893-3017
Carl A Trout, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2538 University Dr S, Suite A, Fargo, ND 58103 Phone: 701-232-1148 Fax: 701-232-8907
Dr. Daniel Lawrence Mengedoth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2585 23rd Ave S, Suite C, Fargo, ND 58103 Phone: 701-356-1280 Fax: 701-356-1281
Dr. Jared B Gill, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4401 23rd Ave S, Fargo, ND 83402 Phone: 701-232-1500
Dr. William Savage, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 306 4th St N, Fargo, ND 58102 Phone: 701-239-7111

Dr Jonathan Russell Gray, DDS - Medicare Dentist in Fargo, ND