Dr Derrick Andre Gray, MD - Medicare Family Practice in Springdale, AR

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Dr Derrick Andre Gray, MD is a medicare enrolled "Family Medicine" physician in Springdale, Arkansas. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Springdale Bentonville Hbp Services Llc, University Of Arkansas For Medical Sciences, Sebastian Physician Services, Pllc and his current practice location is 601 W. Maple, Suite 102, Springdale, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 750-6585.

Dr Derrick Andre Gray is licensed to practice in Arkansas (license number E6424) 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 1609073022.

Contact Information

Dr Derrick Andre Gray, MD
601 W. Maple, Suite 102,
Springdale, AR 72764-5370
(479) 750-6585
(479) 757-2963

Map and Direction




Physician's Profile

Full NameDr Derrick Andre Gray
GenderMale
SpecialityFamily Practice
Experience19 Years
Location601 W. Maple, Springdale, Arkansas
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 Derrick Andre Gray graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1609073022
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 10/26/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1456482074
  • Enrollment ID: I20100625000800

Medical Identifiers

Medical identifiers for Dr Derrick Andre Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609073022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine E6424 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health - Fort SmithFort smith, ARHospital
Northwest Medical Center-springdaleSpringdale, ARHospital
Washington Regional Medical CenterFayetteville, ARHospital
Uams Medical CenterLittle rock, ARHospital
Springdale Health And Rehabilitation CenterSpringdale, ARNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springdale Bentonville Hbp Services Llc105275926394
University Of Arkansas For Medical Sciences40825289551146
Sebastian Physician Services, Pllc529417844846

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 Derrick Andre Gray allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477953248
PECOS PAC ID: 4082528955
Enrollment ID: O20040511000890
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487624490
PECOS PAC ID: 4082528955
Enrollment ID: O20050414000609
Entity NameMercy Clinic Fort Smith Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902073620
PECOS PAC ID: 3870668510
Enrollment ID: O20080814000789
Entity NameIes Hsp Arkansas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205559705
PECOS PAC ID: 7416327523
Enrollment ID: O20230106000943
Entity NameCrawford Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346029204
PECOS PAC ID: 7517310014
Enrollment ID: O20240131004412
Entity NameSebastian Physician Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255110110
PECOS PAC ID: 5294178448
Enrollment ID: O20240205003889
Entity NameArkansas Post Discharge Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851152029
PECOS PAC ID: 0345686861
Enrollment ID: O20240306004442
Entity NameSpringdale Bentonville Hbp Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811762701
PECOS PAC ID: 1052759263
Enrollment ID: O20240408001674

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 Derrick Andre 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 Derrick Andre Gray, MD
601 W. Maple, Suite 102,
Springdale, AR 72764-5370

Ph: (479) 750-6585		Dr Derrick Andre Gray, MD
601 W. Maple, Suite 102,
Springdale, AR 72764-5370

Ph: (479) 750-6585

Reviews and Comments


Family Medicine Doctors in Springdale, AR

Sheldon Riklon, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 E Emma Ave Ste C, Springdale, AR 72764
Phone: 479-751-7417    Fax: 479-751-4898
Dr. Matthew Patoka, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4077 Elm Springs Rd # 105, Springdale, AR 72762
Phone: 479-927-2100    
Lawrence Joseph Schemel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1110 W Robinson Ave, Springdale, AR 72764
Phone: 479-751-8440    Fax: 751-751-8417
Dr. Kristel Britt Holmblad, MD, MPH
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2601 Gene George Blvd, Springdale, AR 72762
Phone: 479-725-6880    Fax: 479-725-6582
David Louis Beck, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 614 E Emma Ave, Springdale, AR 72764
Phone: 479-751-7417    
Dr. Bruce D Deyoung, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1109 S West End St, Springdale, AR 72764
Phone: 479-750-3630    Fax: 479-751-3308
Dr. Joshua David Rankin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 171 N Maestri Rd, Suite 1, Springdale, AR 72762
Phone: 479-361-1020    Fax: 479-361-9118

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.