Mrs Mallory Jo Gray, APRN in Moore, OK - Medicare Nurse Practitioner

Mrs Mallory Jo Gray, APRN is a medicare enrolled "Nurse Practitioner - Family" in Moore, Oklahoma. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Your Health Llc and her current practice location is 400 N Eastern Ave, Moore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 730-6990.

Mrs Mallory Jo Gray is licensed to practice in Oklahoma (license number 87735) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255963252.

Contact Information

	Mrs Mallory Jo Gray, APRN
	400 N Eastern Ave, Moore, OK 73160-5833
	(405) 730-6990
	(405) 730-6992

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Jo Gray
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	400 N Eastern Ave, Moore, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mallory Jo Gray graduated from nursing school in 2019

NPI Data:

NPI Number: 1255963252
Provider Enumeration Date: 02/07/2020
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7113357567
Enrollment ID: I20200427000354

Medical Identifiers

Medical identifiers for Mrs Mallory Jo Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255963252	NPI	-	NPPES
200905610A	Medicaid	OK
1B6545	Other	OK	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	87735 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Your Health Llc	3870922008	6

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. Mrs Mallory Jo Gray allows following entities to bill medicare on her behalf.

Entity Name	Your Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396385431 PECOS PAC ID: 3870922008 Enrollment ID: O20200408004584

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. Mrs Mallory Jo 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
Mrs Mallory Jo Gray, APRN Po Box 891625, Oklahoma City, OK 73189-1625 Ph: (405) 757-7818	Mrs Mallory Jo Gray, APRN 400 N Eastern Ave, Moore, OK 73160-5833 Ph: (405) 730-6990

Reviews and Comments

Nurse Practitioner Nurses in Moore, OK

Mrs. Kristen Lanae Rosenau, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160 Phone: 405-237-7512
Haley Harrison Strutton, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 N Eastern Ave, Moore, OK 73160 Phone: 405-757-7818
Lisa Gail Culliton, APRN, BSN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Magnolia Ct, Moore, OK 73160 Phone: 405-857-7681
Mr. Christopher R Stepp, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 612 Madeline Ln, Moore, OK 73160 Phone: 580-334-8661
Brandalyn Kaye Apple, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3605 Joshua Ln, Moore, OK 73165 Phone: 405-830-3228
Dr. Jeffery David Barlow, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 S Service Rd # 6253, Moore, OK 73160 Phone: 888-611-4429 Fax: 888-611-4429
My Nguyen, APRN CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 N Eastern Ave, Moore, OK 73160 Phone: 405-757-7818 Fax: 405-703-3116

Mrs Mallory Jo Gray, APRN - Medicare Nurse Practitioner in Moore, OK