Dr Bennett G Gray Iv, MD in Irvine, CA

Dr Bennett G Gray Iv, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Irvine, California. His current practice location is 9821 Irvine Center Dr, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (800) 741-7629.

Dr Bennett G Gray Iv is licensed to practice in Illinois (license number 036067155) 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 1376637132.

Contact Information

	Dr Bennett G Gray Iv, MD
	9821 Irvine Center Dr, Irvine, CA 92618-4307
	(800) 741-7629
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bennett G Gray Iv
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	9821 Irvine Center Dr, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376637132
Provider Enumeration Date: 10/03/2006
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0244131191
Enrollment ID: I20080218000217

Medical Identifiers

Medical identifiers for Dr Bennett G Gray Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376637132	NPI	-	NPPES
200364700A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	036067155 (Illinois)	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 Bennett G Gray Iv allows following entities to bill medicare on his behalf.

Entity Name	Medstar Medical Group Radiology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20160620000025

Entity Name	Physician Imaging Of Washington Hospital Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831385871 PECOS PAC ID: 6204910292 Enrollment ID: O20230712002380

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20240913002433

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 Bennett G Gray Iv 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 Bennett G Gray Iv, MD 77 E Southcrest Cir, Edwardsville, IL 62025-3147 Ph: (618) 659-0457	Dr Bennett G Gray Iv, MD 9821 Irvine Center Dr, Irvine, CA 92618-4307 Ph: (800) 741-7629

Reviews and Comments

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Dr Bennett G Gray Iv, MD - Medicare Radiology in Irvine, CA