Al William Ray Iii, MD in Roswell, GA

Al William Ray Iii, MD is a medicare enrolled "Urology" physician in Roswell, Georgia. His current practice location is 2500 Hospital Blvd Ste 290, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 956-4230.

Al William Ray Iii is licensed to practice in Georgia (license number 92649) 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 1366804544.

Contact Information

	Al William Ray Iii, MD
	2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918
	(470) 956-4230
	Not Available

Map and Direction

Physician's Profile

Full Name	Al William Ray Iii
Gender	Male
Speciality	Urology
Location	2500 Hospital Blvd Ste 290, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366804544
Provider Enumeration Date: 03/25/2016
Last Update Date: 04/17/2025

Medicare PECOS Information:

PECOS PAC ID: 3375834641
Enrollment ID: I20240320003579

Medical Identifiers

Medical identifiers for Al William Ray Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366804544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	92649 (Georgia)	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. Al William Ray Iii allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Al William Ray Iii 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
Al William Ray Iii, MD 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 Ph: (470) 956-4230	Al William Ray Iii, MD 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 Ph: (470) 956-4230

Reviews and Comments

Urology Doctors in Roswell, GA

Kapil Pareek, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 290, Roswell, GA 30076 Phone: 470-956-4230
Dr. Bryce Thompson Wyatt, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd Ste 250, Roswell, GA 30076 Phone: 770-475-7550
Dr. Sophia D Goodridge, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 290, Roswell, GA 30076 Phone: 470-956-4230
Lewis S Kriteman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd, Suite 250, Roswell, GA 30076 Phone: 770-475-7550 Fax: 770-343-9080
Dr. Kushan Radadia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076 Phone: 678-839-9973 Fax: 470-427-2013
Daniel Rahe Belew, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1357 Hembree Rd Ste 250, Roswell, GA 30076 Phone: 770-475-7550

Al William Ray Iii, MD - Medicare Urology in Roswell, GA