Addison Bray, MD is a medicare enrolled "Family Medicine" physician in Fort Johnson, Louisiana. His current practice location is
1585 3rd St, Fort Johnson, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 531-3517.
Addison Bray is licensed to practice in North Carolina (license number 2022-01588) 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 1629565809.
Physician's Profile
Full Name | Addison Bray |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1585 3rd St, Fort Johnson, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629565809
- Provider Enumeration Date: 04/13/2018
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173992872
- Enrollment ID: I20221219001524
Medical Identifiers
Medical identifiers for Addison Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629565809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2022-01588 (North Carolina) | Primary |
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. Addison Bray 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 |
Addison Bray, MD 1585 3rd St, Fort Johnson, LA 71459-5102 Ph: () - | Addison Bray, MD 1585 3rd St, Fort Johnson, LA 71459-5102 Ph: (337) 531-3517 |
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