Jennifer Gray, is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Mesa, Arizona. Her current practice location is
7165 E University Dr Ste 183, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 668-5000.
Jennifer Gray is licensed to practice in Arizona (license number AP5297) 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 1114357555.
Provider's Profile
| Full Name | Jennifer Gray |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Acute Care |
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| Location | 7165 E University Dr Ste 183, Mesa, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114357555
- Provider Enumeration Date: 11/21/2013
- Last Update Date: 06/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678705506
- Enrollment ID: I20230105003113
Medical Identifiers
Medical identifiers for Jennifer Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114357555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2100X | Clinical Nurse Specialist - Acute Care | AP5297 (Arizona) | 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. Jennifer Gray allows following entities to bill medicare on her behalf.
| Entity Name | Regents Of The Univ Of Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892 |
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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. Jennifer 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 |
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Jennifer Gray,
7165 E University Dr Ste 187,
Mesa, AZ 85207-6415
Ph: (480) 668-5000 | Jennifer Gray,
7165 E University Dr Ste 183,
Mesa, AZ 85207-6415
Ph: (480) 668-5000 |
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