Mr Jon Harvey Gray, MD in Lake Charles, LA

Mr Jon Harvey Gray, MD is a medicare enrolled "General Practice" physician in Lake Charles, Louisiana. His current practice location is 1701 Oak Park Blvd., Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 494-3036.

Mr Jon Harvey Gray is licensed to practice in Louisiana (license number 022139) 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 1356322077.

Contact Information

	Mr Jon Harvey Gray, MD
	1701 Oak Park Blvd., Lake Charles, LA 70601
	(337) 494-3036
	(337) 494-2181

Map and Direction

Physician's Profile

Full Name	Mr Jon Harvey Gray
Gender	Male
Speciality	General Practice
Location	1701 Oak Park Blvd., Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356322077
Provider Enumeration Date: 11/09/2005
Last Update Date: 04/21/2020

Medicare PECOS Information:

PECOS PAC ID: 5799689543
Enrollment ID: I20031122000043

Medical Identifiers

Medical identifiers for Mr Jon Harvey Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356322077	NPI	-	NPPES
1668974	Medicaid	LA
66897	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	022139 (Louisiana)	Secondary
208D00000X	General Practice	022139 (Louisiana)	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. Mr Jon Harvey Gray allows following entities to bill medicare on his behalf.

Entity Name	Professional Emergency Medicine Management -- Lake Charles Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077

Entity Name	St Tammany Emergency Physicians Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843

Entity Name	Thibodaux Emergency Physicians Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568910503 PECOS PAC ID: 2769760537 Enrollment ID: O20161028001769

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. Mr Jon Harvey 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
Mr Jon Harvey Gray, MD 6034 St. Charles Ave, New Orleans, LA 70118 Ph: (504) 296-7959	Mr Jon Harvey Gray, MD 1701 Oak Park Blvd., Lake Charles, LA 70601 Ph: (337) 494-3036

Reviews and Comments

General Practice Doctors in Lake Charles, LA

Dr. Carl Wendell Ross Sr., MD General Practice Medicare: Medicare Enrolled Practice Location: 410 Louisiana Ave, Lake Charles, LA 70601 Phone: 337-439-4923 Fax: 337-439-4410
Jake Thomas Hollen, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4311 Suffolk St, Lake Charles, LA 70605 Phone: 337-477-9383
Dr. Corey G Foster, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214
Dr. Jerome J Arimura, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1528 E. Prien Lake Rd., Ste. B, Lake Charles, LA 70601 Phone: 337-479-2057 Fax: 337-479-2099
Mr. Andrew Bradberry, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 771 Bayou Pines East Dr, Lake Charles, LA 70601 Phone: 337-433-1212 Fax: 337-433-0736

Mr Jon Harvey Gray, MD - Medicare General Practice in Lake Charles, LA