Mr Charles David Bray, FNP-BC in Kingsport, TN

Mr Charles David Bray, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. His current practice location is 415 Broad St Ste 410, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 239-9737.

Mr Charles David Bray is licensed to practice in Tennessee (license number 23136) 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 1083139935.

Contact Information

	Mr Charles David Bray, FNP-BC
	415 Broad St Ste 410, Kingsport, TN 37660-4264
	(423) 239-9737
	(423) 239-9737

Map and Direction

Provider's Profile

Full Name	Mr Charles David Bray
Gender	Male
Speciality	Nurse Practitioner - Family
Location	415 Broad St Ste 410, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083139935
Provider Enumeration Date: 08/11/2017
Last Update Date: 11/27/2017

Medicare PECOS Information:

PECOS PAC ID: 5092080622
Enrollment ID: I20171009001500

Medical Identifiers

Medical identifiers for Mr Charles David Bray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083139935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024175255 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	23136 (Tennessee)	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. Mr Charles David Bray allows following entities to bill medicare on his behalf.

Entity Name	App Of Tennessee Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20180814002326

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. Mr Charles David Bray 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
Mr Charles David Bray, FNP-BC 719 Woodland Dr, Elizabethton, TN 37643-5001 Ph: (423) 213-5265	Mr Charles David Bray, FNP-BC 415 Broad St Ste 410, Kingsport, TN 37660-4264 Ph: (423) 239-9737

Reviews and Comments

Nurse Practitioner Nurses in Kingsport, TN

Mrs. Cathy A Greenwood, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3136 Winesap Rd, Kingsport, TN 37663 Phone: 423-726-2077
Lauren Ashley Ernst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1041 E Sullivan St, Kingsport, TN 37660 Phone: 423-279-2777
Kelly A Cox, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2050 Meadowview Pkwy, Kingsport, TN 37660 Phone: 423-230-5000 Fax: 423-230-5613
Sherry Lynn Goode, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-3628 Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-239-7300
Mrs. Amanda Susan Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W Stone Dr Ste 110, Kingsport, TN 37660 Phone: --
Mary Renee Mcnees, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660 Phone: 423-765-9655 Fax: 423-979-6333

Mr Charles David Bray, FNP-BC - Medicare Nurse Practitioner in Kingsport, TN