Dr Russell Wayne Gray, CRNA in Hattiesburg, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Russell Wayne Gray, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hattiesburg Clinic, Pa, Lifelinc Anesthesia Pllc and his current practice location is 5001 Hardy St, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 319-5647.

Dr Russell Wayne Gray is licensed to practice in Mississippi (license number 901751) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215697388.

Contact Information

	Dr Russell Wayne Gray, CRNA
	5001 Hardy St, Hattiesburg, MS 39402-1308
	(601) 319-5647
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Russell Wayne Gray
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	5001 Hardy St, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Russell Wayne Gray graduated from nursing school in 2021

NPI Data:

NPI Number: 1215697388
Provider Enumeration Date: 12/30/2021
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3375935034
Enrollment ID: I20220110001908

Medical Identifiers

Medical identifiers for Dr Russell Wayne Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215697388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	901751 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health Wesley	Hattiesburg, MS	Hospital
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	489
Lifelinc Anesthesia Pllc	0941347447	144

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 Russell Wayne Gray allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Lifelinc Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277

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 Russell Wayne 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 Russell Wayne Gray, CRNA 12 E Crockett Dr, Sumrall, MS 39482-5062 Ph: (601) 319-5647	Dr Russell Wayne Gray, CRNA 5001 Hardy St, Hattiesburg, MS 39402-1308 Ph: (601) 319-5647

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166

Dr Russell Wayne Gray, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS