Kristen David Gray, MD in Ormond Beach, FL

Kristen David Gray, MD is a medicare enrolled "Family Medicine" physician in Ormond Beach, Florida. He graduated from medical school in 1985 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prohealth Physicians Pc and his current practice location is 290 Clyde Morris Blvd Ste C2, Ormond Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 259-6026.

Kristen David Gray is licensed to practice in Connecticut (license number 80188) 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 1861481517.

Contact Information

	Kristen David Gray, MD
	290 Clyde Morris Blvd Ste C2, Ormond Beach, FL 32174-8204
	(386) 259-6026
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristen David Gray
Gender	Male
Speciality	Family Practice
Experience	41 Years
Location	290 Clyde Morris Blvd Ste C2, Ormond Beach, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristen David Gray graduated from medical school in 1985

NPI Data:

NPI Number: 1861481517
Provider Enumeration Date: 10/17/2005
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID: 7911802442
Enrollment ID: I20250326001314

Medical Identifiers

Medical identifiers for Kristen David Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861481517	NPI	-	NPPES
593339550	Other	FL	TAX IDENTIFICATION NUMBER
264274300	Medicaid	FL
K9529	Other	FL	MEDICARE GROUP NUMBER
592696120	Other	FL	TAX IDENIFICATION
593339550	Other	FL	WINTER PARK FAMILY HEALTH CENTER, INC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME85090 (Florida)	Secondary
207Q00000X	Family Medicine	80188 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Daytona Beach	Daytona beach, FL	Hospital
Florida Hospital Flagler	Palm coast, FL	Hospital
Middlesex Hospital	Middletown, CT	Hospital
Adventhealth New Smyrna Beach	New smyrna beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prohealth Physicians Pc	1355246950	199

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. Kristen David Gray allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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. Kristen David 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
Kristen David Gray, MD 1595 N Williamson Blvd, Daytona Beach, FL 32117-7214 Ph: (386) 259-6026	Kristen David Gray, MD 290 Clyde Morris Blvd Ste C2, Ormond Beach, FL 32174-8204 Ph: (386) 259-6026

Reviews and Comments

Family Medicine Doctors in Ormond Beach, FL

Dr. Richard Branoff, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 545 W Granada Blvd, Ormond Beach, FL 32174 Phone: 386-672-6243 Fax: 386-677-7463
Dr. Samuel Damain Pepeto Clarke, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 Phone: 386-317-8620 Fax: 386-317-8625
Teresa Hernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1184 Ocean Shore Blvd, Ormond Beach, FL 32176 Phone: 386-481-6102
Dr. Craig Allan Miller, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Hand Ave, Suite K, Ormond Beach, FL 32174 Phone: 386-673-0517 Fax: 386-671-2771
Dr. Sandford H. Kinne Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 290 Clyde Morris Blvd, Suite A-1, Ormond Beach, FL 32174 Phone: 386-677-5600 Fax: 386-677-5686
Dr. Therese A Ibrahim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 S Nova Rd Ste 4&5, Ormond Beach, FL 32174 Phone: 386-615-8122 Fax: 844-899-3686
Dr. Donald Benett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 731327, Ormond Beach, FL 32173 Phone: 386-677-6644

Kristen David Gray, MD - Medicare Family Practice in Ormond Beach, FL