Dr Latonya Shari Gray, DNP, PMHNP-BC in Winston Salem, NC

Dr Latonya Shari Gray, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Winston Salem, North Carolina. Her current practice location is 2245 Mueller Dr Apt 101, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 404-1724.

Dr Latonya Shari Gray is licensed to practice in North Carolina (license number 5021393) 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 1144060393.

Contact Information

	Dr Latonya Shari Gray, DNP, PMHNP-BC
	2245 Mueller Dr Apt 101, Winston Salem, NC 27106-1794
	(336) 404-1724
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Latonya Shari Gray
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2245 Mueller Dr Apt 101, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144060393
Provider Enumeration Date: 05/27/2024
Last Update Date: 01/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5698285989
Enrollment ID: I20250606000436

Medical Identifiers

Medical identifiers for Dr Latonya Shari Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144060393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5021393 (North Carolina)	Primary
163W00000X	Registered Nurse	207095 (North Carolina)	Secondary

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. Dr Latonya Shari Gray allows following entities to bill medicare on her behalf.

Entity Name	Triad Psychiatric And Counseling Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285671602 PECOS PAC ID: 3173590882 Enrollment ID: O20040913000973

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. Dr Latonya Shari 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
Dr Latonya Shari Gray, DNP, PMHNP-BC 2245 Mueller Dr Apt 101, Winston Salem, NC 27106-1794 Ph: (336) 404-1724	Dr Latonya Shari Gray, DNP, PMHNP-BC 2245 Mueller Dr Apt 101, Winston Salem, NC 27106-1794 Ph: (336) 404-1724

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103 Phone: 336-718-6199 Fax: 336-718-6190
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Dr Latonya Shari Gray, DNP, PMHNP-BC - Medicare Nurse Practitioner in Winston Salem, NC