Dr Jon Roger Gray, MD, MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Williamsburg, Virginia. His current practice location is
3901 Treyburn Dr, Williamsburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 772-0192.
Dr Jon Roger Gray is licensed to practice in Virginia (license number 0101274639) 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 1750543146.
Physician's Profile
| Full Name | Dr Jon Roger Gray |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 3901 Treyburn Dr, Williamsburg, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750543146
- Provider Enumeration Date: 06/27/2008
- Last Update Date: 09/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769889641
- Enrollment ID: I20231012000434
Medical Identifiers
Medical identifiers for Dr Jon Roger Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750543146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 0101274639 (Virginia) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 43499 (Tennessee) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | MD0000043499 (Tennessee) | Secondary |
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 Jon Roger Gray allows following entities to bill medicare on his behalf.
| Entity Name | Velocity Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205350584
PECOS PAC ID: 7618234980
Enrollment ID: O20171122001472 |
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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 Jon Roger 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 Address | Practice Location Address |
|---|
Dr Jon Roger Gray, MD, MPH
3901 Treyburn Dr,
Williamsburg, VA 23185-2891
Ph: (757) 772-0192 | Dr Jon Roger Gray, MD, MPH
3901 Treyburn Dr,
Williamsburg, VA 23185-2891
Ph: (757) 772-0192 |
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