Gray Barnes Phelps, - Medicare Physician Assistant in Hartsville, SC

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Gray Barnes Phelps, is a medicare enrolled "Physician Assistant" in Hartsville, South Carolina. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Novant Health Urgent Cares Llc and his current practice location is 1304 W Bobo Newsom Hwy, Carolina Pines Regional Medical Center, Hartsville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 339-4608.

Gray Barnes Phelps is licensed to practice in South Carolina (license number 2461) 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 1881055309.

Contact Information

Gray Barnes Phelps,
1304 W Bobo Newsom Hwy, Carolina Pines Regional Medical Center,
Hartsville, SC 29550-4710
(843) 339-4608
Not Available

Map and Direction




Provider's Profile

Full NameGray Barnes Phelps
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location1304 W Bobo Newsom Hwy, Hartsville, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gray Barnes Phelps graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1881055309
  • Provider Enumeration Date: 03/10/2016
  • Last Update Date: 11/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062711674
  • Enrollment ID: I20160504000001

Medical Identifiers

Medical identifiers for Gray Barnes Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881055309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2461 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Health Urgent Cares Llc8628502598183

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. Gray Barnes Phelps allows following entities to bill medicare on his behalf.
Entity NameRoper Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104983055
PECOS PAC ID: 8426958919
Enrollment ID: O20040114000413
Entity NameBon Secours St Francis Xavier Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770867442
PECOS PAC ID: 8325008717
Enrollment ID: O20041011000439
Entity NameRoper St. Francis Mount Pleasant Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629499298
PECOS PAC ID: 1658567326
Enrollment ID: O20110207000316
Entity NameBroad River Physicians Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295443000
PECOS PAC ID: 8123385143
Enrollment ID: O20230103000298
Entity NameNovant Health Urgent Cares LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841026382
PECOS PAC ID: 8628502598
Enrollment ID: O20241114002376

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. Gray Barnes Phelps 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
Gray Barnes Phelps,
Po Box 749306,
Atlanta, GA 30374-9306

Ph: (843) 871-3277		Gray Barnes Phelps,
1304 W Bobo Newsom Hwy, Carolina Pines Regional Medical Center,
Hartsville, SC 29550-4710

Ph: (843) 339-4608

Reviews and Comments


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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.