Dr Roger Sloan Gray Jr, MD is a medicare enrolled "Ophthalmology" physician in Rice Lake, Wisconsin. His current practice location is
2820 S Wisconsin Ave, Rice Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(745) 234-8444.
Dr Roger Sloan Gray Jr is licensed to practice in Wisconsin (license number 30897020) 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 1154323608.
Physician's Profile
| Full Name | Dr Roger Sloan Gray Jr |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 2820 S Wisconsin Ave, Rice Lake, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154323608
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 04/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224920194
- Enrollment ID: I20101119001212
Medical Identifiers
Medical identifiers for Dr Roger Sloan Gray Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154323608 | NPI | - | NPPES |
| 31602400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | 30897020 (Wisconsin) | 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 Roger Sloan Gray Jr allows following entities to bill medicare on his behalf.
| Entity Name | Chippewa Valley Eye Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306838487 PECOS PAC ID: 1759273618 Enrollment ID: O20040325001561 |
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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 Roger Sloan Gray Jr 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 Roger Sloan Gray Jr, MD 2715 Damon St, Eau Claire, WI 54701-3899 Ph: (715) 834-8471 | Dr Roger Sloan Gray Jr, MD 2820 S Wisconsin Ave, Rice Lake, WI 54868-8573 Ph: (745) 234-8444 |
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