Dr Bradley Wayne Gray, MD - Medicare Family Practice in South Lake Tahoe, CA

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Dr Bradley Wayne Gray, MD is a medicare enrolled "Family Medicine" physician in South Lake Tahoe, California. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Barton Healthcare System, Barton Medical Foundation and his current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 541-3420.

Dr Bradley Wayne Gray is licensed to practice in Arkansas (license number E-10753) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851785976.

Contact Information

Dr Bradley Wayne Gray, MD
2170 South Ave,
South Lake Tahoe, CA 96150-7026
(530) 541-3420
Not Available

Map and Direction




Physician's Profile

Full NameDr Bradley Wayne Gray
GenderMale
SpecialityFamily Practice
Experience9 Years
Location2170 South Ave, South Lake Tahoe, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bradley Wayne Gray graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1851785976
  • Provider Enumeration Date: 03/26/2015
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072820307
  • Enrollment ID: I20191218001861

Medical Identifiers

Medical identifiers for Dr Bradley Wayne Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851785976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist E-10753 (Arkansas)Secondary
207Q00000XFamily Medicine E-10753 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Barton Memorial HospitalSouth lake tahoe, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Barton Healthcare System185029396020
Barton Medical Foundation539512768264

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 Bradley Wayne Gray allows following entities to bill medicare on his behalf.
Entity NameTahoe Carson Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508865528
PECOS PAC ID: 8426048158
Enrollment ID: O20040514000834
Entity NameBarton Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235196015
PECOS PAC ID: 1850293960
Enrollment ID: O20040915000806
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameInpatient Specialists Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915
Entity NameHospitalist Medicine Physicians Of California - Jackson, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801374434
PECOS PAC ID: 0840542452
Enrollment ID: O20181010000196
Entity NameBarton Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750950499
PECOS PAC ID: 5395127682
Enrollment ID: O20220803001208

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 Bradley Wayne 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 AddressPractice Location Address
Dr Bradley Wayne Gray, MD
1808 W Main St,
Russellville, AR 72801-2724

Ph: (479) 964-4178		Dr Bradley Wayne Gray, MD
2170 South Ave,
South Lake Tahoe, CA 96150-7026

Ph: (530) 541-3420

Reviews and Comments


Family Medicine Doctors in South Lake Tahoe, CA

Dr. Matthew Paul Wonnacott, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738
Monika Lisa Mehrens, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-541-3420    Fax: 530-541-8723
Dr. Brooks Martin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150
Phone: 530-543-5660    Fax: 530-542-1619
Dr. Paul William Rork, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738
Dr. Abby Cohen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2155 South Ave, #25-a, South Lake Tahoe, CA 96158
Phone: 530-541-3286    Fax: 530-541-2005
Brooke M Pancio, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150
Phone: 530-543-5623    Fax: 530-541-5738
Dr. Erin Elizabeth Jones, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150
Phone: 530-543-5660    Fax: 530-542-1619

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.