Jack D Gray, FNP - Medicare Nurse Practitioner in Victoria, TX

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Jack D Gray, FNP is a medicare enrolled "Nurse Practitioner - Family" in Victoria, Texas. His current practice location is 4504 N. Laurent St., Victoria, Texas. You can reach out to his office (for appointments etc.) via phone at (361) 573-9999.

Jack D Gray is licensed to practice in Texas (license number 731532) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639405061.

Contact Information

Jack D Gray, FNP
4504 N. Laurent St.,
Victoria, TX 77901
(361) 573-9999
(361) 573-9998

Map and Direction




Provider's Profile

Full NameJack D Gray
GenderMale
SpecialityNurse Practitioner - Family
Location4504 N. Laurent St., Victoria, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639405061
  • Provider Enumeration Date: 10/20/2009
  • Last Update Date: 10/20/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6406041615
  • Enrollment ID: I20101113000195

Medical Identifiers

Medical identifiers for Jack D Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639405061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 731532 (Texas)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. Jack D Gray allows following entities to bill medicare on his behalf.
Entity NameCrossroads Health Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184705006
PECOS PAC ID: 2365544756
Enrollment ID: O20070305000339
Entity NameUcp Physicians Of Central Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922289412
PECOS PAC ID: 3173697935
Enrollment ID: O20080729000203

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. Jack D 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 AddressPractice Location Address
Jack D Gray, FNP
2802 Bon Aire Ave,
Victoria, TX 77901-4464

Ph: (361) 648-7535		Jack D Gray, FNP
4504 N. Laurent St.,
Victoria, TX 77901

Ph: (361) 573-9999

Reviews and Comments


Nurse Practitioner Nurses in Victoria, TX

Ginger Gaile Carver, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3408 Sam Houston Dr, Victoria, TX 77904
Phone: 361-844-8866    Fax: 361-894-6064
Joyce Howard, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 601 E San Antonio St, Ste 203w, Victoria, TX 77901
Phone: 361-576-0004    Fax: 361-575-1265
Alyssa Canales, MSN, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 102 Santa Fe, Victoria, TX 77904
Phone: 361-212-6409    
Claudia Lizeth Amador, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 909 N Navarro St, Victoria, TX 77901
Phone: 361-576-9700    
Jessica Lee Helms, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 605 E San Antonio St Ste 310e, Victoria, TX 77901
Phone: 361-485-9600    Fax: 361-485-9610
Jason Cochrum,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2701 Hospital Dr, Victoria, TX 77901
Phone: 361-575-6396    Fax: 361-578-5203
Ann Flowers, RN, MSN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4504 N Laurent St, Victoria, TX 77901
Phone: 361-573-9999    Fax: 361-573-9998

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.