Dr Lisa Marie Gray, DNP in Fort Carson, CO - Medicare Nurse Practitioner

Dr Lisa Marie Gray, DNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Carson, Colorado. Her current practice location is 1650 Cochrane Cir, Fort Carson, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 526-7061.

Dr Lisa Marie Gray is licensed to practice in Colorado (license number C-APN.0000410-C-NP) 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 1326440439.

Contact Information

	Dr Lisa Marie Gray, DNP
	1650 Cochrane Cir, Fort Carson, CO 80913-4613
	(719) 526-7061
	(719) 526-7132

Map and Direction

Provider's Profile

Full Name	Dr Lisa Marie Gray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1650 Cochrane Cir, Fort Carson, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326440439
Provider Enumeration Date: 09/19/2014
Last Update Date: 09/15/2016

Medicare PECOS Information:

PECOS PAC ID: 3971825308
Enrollment ID: I20180504001857

Medical Identifiers

Medical identifiers for Dr Lisa Marie Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326440439	NPI	-	NPPES
1326440439	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	268905 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	C-APN.0000410-C-NP (Colorado)	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. Dr Lisa Marie Gray allows following entities to bill medicare on her behalf.

Entity Name	Peak Vista Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337

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 Lisa Marie 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 Lisa Marie Gray, DNP 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7061	Dr Lisa Marie Gray, DNP 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7061

Reviews and Comments

Nurse Practitioner Nurses in Fort Carson, CO

Mrs. Gwen M Colon, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Attn Credentials Office Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7844 Fax: 719-526-7984
Claudia Martial, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000
Mrs. Tisha Kim Ellis, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-0175 Fax: 719-526-2452
Gina Clark, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-524-0016
Anna M Jones, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-524-0691
Dae K Han, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-3668 Fax: 719-524-2258

Dr Lisa Marie Gray, DNP - Medicare Nurse Practitioner in Fort Carson, CO