Destiny Ray, CRNP - Medicare Nurse Practitioner in California, PA

Destiny Ray, CRNP is a medicare enrolled "Nurse Practitioner" in California, Pennsylvania. Her current practice location is 1153 Wood Street, California, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 223-1067.

Destiny Ray is licensed to practice in Pennsylvania (license number SP028708) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790550820.

Contact Information

Destiny Ray, CRNP
1153 Wood Street,
California, PA 15419-4062
(724) 223-1067
Not Available

Map and Direction




Provider's Profile

Full NameDestiny Ray
GenderFemale
SpecialityNurse Practitioner
Location1153 Wood Street, California, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790550820
  • Provider Enumeration Date: 11/20/2023
  • Last Update Date: 12/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507209731
  • Enrollment ID: I20240205003309

Medical Identifiers

Medical identifiers for Destiny Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790550820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP028708 (Pennsylvania)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. Destiny Ray allows following entities to bill medicare on her behalf.
Entity NameCenterville Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801877048
PECOS PAC ID: 7214837202
Enrollment ID: O20040427000681

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. Destiny Ray 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 AddressPractice Location Address
Destiny Ray, CRNP
1070 Old National Pike,
Fredericktown, PA 15333-2114

Ph: () -
Destiny Ray, CRNP
1153 Wood Street,
California, PA 15419-4062

Ph: (724) 223-1067

Reviews and Comments


Nurse Practitioner Nurses in California, PA

Frances Fayish,
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Phone: 724-938-5922    Fax: 724-938-4509
Beth Theis, CRNP
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Practice Location: 415 3rd St, California, PA 15419
Phone: 724-938-7466    Fax: 724-938-7470
Ms. Mary Sue Capella, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1152 Wood Street, California, PA 15419
Phone: 724-938-2122    Fax: 724-938-7853
Erika Rae Robaugh, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1152 Wood St, California, PA 15419
Phone: 724-938-2122    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.