Dr Dalton L Gray Ii, MD in Fayetteville, AR

Dr Dalton L Gray Ii, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Arkansas. His current practice location is 3 E Appleby Rd, Suite 101, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 404-1010.

Dr Dalton L Gray Ii is licensed to practice in Arkansas (license number C-6610) 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 1033283155.

Contact Information

	Dr Dalton L Gray Ii, MD
	3 E Appleby Rd, Suite 101, Fayetteville, AR 72703
	(479) 404-1010
	(479) 404-1011

Map and Direction

Physician's Profile

Full Name	Dr Dalton L Gray Ii
Gender	Male
Speciality	Family Medicine
Location	3 E Appleby Rd, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033283155
Provider Enumeration Date: 11/20/2006
Last Update Date: 08/28/2019

Medicare PECOS Information:

PECOS PAC ID: 1153367909
Enrollment ID: I20050630001173

Medical Identifiers

Medical identifiers for Dr Dalton L Gray Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033283155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	C-6610 (Arkansas)	Secondary
207Q00000X	Family Medicine	C-6610 (Arkansas)	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 Dalton L Gray Ii allows following entities to bill medicare on his behalf.

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326376419 PECOS PAC ID: 8820995434 Enrollment ID: O20100130000001

Entity Name	Urgent Team Of Arkansas Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209

Entity Name	Bhg L Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699321406 PECOS PAC ID: 0547699225 Enrollment ID: O20200331003025

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 Dalton L Gray Ii 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 Dalton L Gray Ii, MD Po Box 550, Lowell, AR 72745-0550 Ph: (479) 463-7775	Dr Dalton L Gray Ii, MD 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703 Ph: (479) 404-1010

Reviews and Comments

Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 688 E Millsap Rd Ste 101, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933
Stanley Bradley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260

Dr Dalton L Gray Ii, MD - Medicare Family Medicine in Fayetteville, AR