Jennifer Armacost Gray, AGACNP is a medicare enrolled "Nurse Practitioner" physician in Lawrenceville, Georgia. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Cv Professional Services Llc and her current practice location is
755 Walther Rd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 962-4895.
Jennifer Armacost Gray is licensed to practice in Georgia (license number RN248100) 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 1508430893.
Physician's Profile
| Full Name | Jennifer Armacost Gray |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 755 Walther Rd, Lawrenceville, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Armacost Gray graduated from medical school in 2019
NPI Data:
- NPI Number: 1508430893
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 07/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547665077
- Enrollment ID: I20210823001124
Medical Identifiers
Medical identifiers for Jennifer Armacost Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508430893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0000X | Internal Medicine - Cardiovascular Disease | 248100 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN248100 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northside Cv Professional Services Llc | 4880003771 | 47 |
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. Jennifer Armacost Gray allows following entities to bill medicare on her behalf.
| Entity Name | Northside Cv Professional Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821612938
PECOS PAC ID: 4880003771
Enrollment ID: O20210505001504 |
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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. Jennifer Armacost 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 |
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Jennifer Armacost Gray, AGACNP
755 Walther Rd,
Lawrenceville, GA 30046-8725
Ph: (770) 962-4895 | Jennifer Armacost Gray, AGACNP
755 Walther Rd,
Lawrenceville, GA 30046-8725
Ph: (770) 962-4895 |
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