| Kristen David Gray, MD | |
|
401 Towne Center Blvd, Sanford, FL 32771-7407 | |
| (407) 200-0547 | |
| Not Available |
| Full Name | Kristen David Gray |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 401 Towne Center Blvd, Sanford, 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. |
| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 80188 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | ME85090 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Middlesex Hospital | Middletown, CT | Hospital |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmed Medical Management Of Florida Inc | 3971678558 | 161 |
| Entity Name | Adventhealth Senior Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336756204 PECOS PAC ID: 7618397886 Enrollment ID: O20201009001594 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen David Gray, MD 401 Towne Center Blvd, Sanford, FL 32771-7407 Ph: (407) 200-0547 | Kristen David Gray, MD 401 Towne Center Blvd, Sanford, FL 32771-7407 Ph: (407) 200-0547 |
Dr. Daniel R Bieda, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-322-8725 | |
Seth Winterton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2209 S French Ave, Sanford, FL 32771 Phone: 407-321-4230 Fax: 407-324-7642 | |
Michael Andrew Sparks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 Lexington Green Ln, Sanford, FL 32771 Phone: 407-392-1058 Fax: 407-391-1053 | |
Dr. Leidee Karenna Senors, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-956-4334 | |
Dr. Chhavi Rai, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4932 W State Road 46 Ste 1090, Sanford, FL 32771 Phone: 407-635-3330 Fax: 407-636-7845 | |
Dr. Venkata R Pothuraju, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-330-5074 | |
Jennifer Fertil Simpkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 Fax: 407-646-7747 |