Katelyn Ray, FNP in Corona Del Mar, CA - Medicare Nurse Practitioner

Katelyn Ray, FNP is a medicare enrolled "Nurse Practitioner - Family" in Corona Del Mar, California. Her current practice location is 3800 E Coast Hwy Ste 2, Corona Del Mar, California. You can reach out to her office (for appointments etc.) via phone at (949) 432-5863.

Katelyn Ray is licensed to practice in California (license number 95012252) 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 1497308936.

Contact Information

	Katelyn Ray, FNP
	3800 E Coast Hwy Ste 2, Corona Del Mar, CA 92625-2548
	(949) 432-5863
	Not Available

Map and Direction

Provider's Profile

Full Name	Katelyn Ray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3800 E Coast Hwy Ste 2, Corona Del Mar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497308936
Provider Enumeration Date: 07/23/2019
Last Update Date: 04/06/2024

Medicare PECOS Information:

PECOS PAC ID: 7517391683
Enrollment ID: I20191223002204

Medical Identifiers

Medical identifiers for Katelyn Ray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497308936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012252 (California)	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. Katelyn Ray allows following entities to bill medicare on her behalf.

Entity Name	Emergency Specialist Physicians Medical Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518917913 PECOS PAC ID: 2163329822 Enrollment ID: O20031218001027

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. Katelyn Ray 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
Katelyn Ray, FNP 1617 Sierra Vista Ave, Placentia, CA 92870-6610 Ph: (562) 899-1956	Katelyn Ray, FNP 3800 E Coast Hwy Ste 2, Corona Del Mar, CA 92625-2548 Ph: (949) 432-5863

Reviews and Comments

Nurse Practitioner Nurses in Corona Del Mar, CA

Karina Cornejo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2711 E Coast Hwy Ste 12, Corona Del Mar, CA 92625 Phone: 949-998-0399
Mackenzie Elizabeth Reay, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Fathom Dr, Corona Del Mar, CA 92625 Phone: 949-228-0231
Chelsea Sermak, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 E Coast Hwy Ste 2, Corona Del Mar, CA 92625 Phone: 949-432-5863
Mckensie Stella Archer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 E Coast Hwy Ste 2, Corona Del Mar, CA 92625 Phone: 949-432-5863
Mona Dossani, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 E Coast Hwy Ste 2, Corona Del Mar, CA 92625 Phone: 949-432-5863

Katelyn Ray, FNP - Medicare Nurse Practitioner in Corona Del Mar, CA