Luke Frederick Gray, PA-C is a medicare enrolled "Physician Assistant" in Harbor Springs, Michigan. His current practice location is
3434 M 119 Ste C, Harbor Springs, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 348-9900.
Luke Frederick Gray is licensed to practice in Michigan (license number 5601009547) 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 1710456280.
Provider's Profile
| Full Name | Luke Frederick Gray |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3434 M 119 Ste C, Harbor Springs, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710456280
- Provider Enumeration Date: 11/14/2018
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789914615
- Enrollment ID: I20190919001398
Medical Identifiers
Medical identifiers for Luke Frederick Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710456280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 5601009547 (Michigan) | 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. Luke Frederick Gray allows following entities to bill medicare on his behalf.
| Entity Name | Alcona Citizens for Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326055450 PECOS PAC ID: 5991691958 Enrollment ID: O20040225001194 |
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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. Luke Frederick 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 |
Luke Frederick Gray, PA-C 1035 W Washington Ave, Alpena, MI 49707-2929 Ph: (989) 358-0673 | Luke Frederick Gray, PA-C 3434 M 119 Ste C, Harbor Springs, MI 49740-9373 Ph: (231) 348-9900 |
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