Dr Gina Vick Bray, DO - Medicare Internal Medicine in Southaven, MS

Dr Gina Vick Bray, DO is a medicare enrolled "Internal Medicine" physician in Southaven, Mississippi. She went to West Virginia School Of Osteopathic Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Boa Vida Hospital Of Aberdeen Ms Llc, T M Carr Md Pc and her current practice location is 187 Stateline Rd E, Suite 10, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 342-5353.

Dr Gina Vick Bray is licensed to practice in Mississippi (license number 15380) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255338984.

Contact Information

Dr Gina Vick Bray, DO
187 Stateline Rd E, Suite 10,
Southaven, MS 38671-1704
(662) 342-5353
(662) 393-9753

Map and Direction




Physician's Profile

Full NameDr Gina Vick Bray
GenderFemale
SpecialityInternal Medicine
Experience30 Years
Location187 Stateline Rd E, Southaven, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gina Vick Bray attended and graduated from West Virginia School Of Osteopathic Medicine in 1994
  NPI Data:
  • NPI Number: 1255338984
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 04/14/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9739279886
  • Enrollment ID: I20071213000402

Medical Identifiers

Medical identifiers for Dr Gina Vick Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255338984NPI-NPPES
0118418MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 15380 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dyersburg Regional Medical CenterDyersburg, TNHospital
S E Lackey Memorial HospitalForest, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boa Vida Hospital Of Aberdeen Ms Llc024450584043
T M Carr Md Pc337550491346

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 Gina Vick Bray allows following entities to bill medicare on her behalf.
Entity NameIndependent Healthcare Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306909734
PECOS PAC ID: 0840197232
Enrollment ID: O20031215000487
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050407000866
Entity NameMississippi Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710220678
PECOS PAC ID: 2264672492
Enrollment ID: O20130710000827
Entity NameCorrect Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987441
PECOS PAC ID: 8628980992
Enrollment ID: O20131122000662
Entity NameCarr, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548677610
PECOS PAC ID: 1850512153
Enrollment ID: O20160707000686
Entity NameBoa Vida Hospital Of Aberdeen Ms Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710405741
PECOS PAC ID: 0244505840
Enrollment ID: O20171128003460

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 Gina Vick Bray 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 Gina Vick Bray, DO
Po Box 1369,
Southaven, MS 38671-0014

Ph: (662) 342-5353
Dr Gina Vick Bray, DO
187 Stateline Rd E, Suite 10,
Southaven, MS 38671-1704

Ph: (662) 342-5353

Reviews and Comments


Internal Medicine Doctors in Southaven, MS

Shan Shah, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-2980    Fax: 662-772-2960
Sohail A Minhas, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 7900 Airways Blvd Ste 100, Southaven, MS 38671
Phone: 662-349-2442    Fax: 662-349-8551
Mr. Mahfuzur Rahman, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 728 Goodman Rd E, Ste 2, Southaven, MS 38671
Phone: 662-349-1750    Fax: 662-349-2350
Dr. Jimmy Darrell Sneed, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir Ste 200, Southaven, MS 38671
Phone: 901-271-1000    Fax: 901-271-4187
Dr. Lily Herbert, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7680 Airways Blvd, Southaven, MS 38671
Phone: 662-349-1999    Fax: 662-349-9734
Dr. Michael Henry Vaughan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-2980    Fax: 662-772-2960
Nfn Sumedha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-2980    Fax: 662-772-2960

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.