Mrs Nicole Gray, in White Hall, AR - Medicare Nurse Practitioner

Mrs Nicole Gray, is a medicare enrolled "Nurse Practitioner - Family" in White Hall, Arkansas. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Arkansas Emergency Physicians Llp and her current practice location is 3103 Holiday Dr, White Hall, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 413-9528.

Mrs Nicole Gray is licensed to practice in Arkansas (license number A006211) 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 1790349462.

Contact Information

	Mrs Nicole Gray,
	3103 Holiday Dr, White Hall, AR 71602-9559
	(870) 413-9528
	(870) 541-6434

Map and Direction

Provider's Profile

Full Name	Mrs Nicole Gray
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	3103 Holiday Dr, White Hall, Arkansas
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 Nicole Gray graduated from nursing school in 2009

NPI Data:

NPI Number: 1790349462
Provider Enumeration Date: 04/27/2019
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 7012327992
Enrollment ID: I20201104000688

Medical Identifiers

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

Identifier	Type	State	Issuer
1790349462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A006211 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Arkansas Emergency Physicians Llp	6204146319	17

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 Nicole Gray allows following entities to bill medicare on her behalf.

Entity Name	Southeast Arkansas Emergency Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647

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 Nicole 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 Nicole Gray, 4201 S Mulberry St, Pine Bluff, AR 71603-7016 Ph: (870) 541-8654	Mrs Nicole Gray, 3103 Holiday Dr, White Hall, AR 71602-9559 Ph: (870) 413-9528

Reviews and Comments

Nurse Practitioner Nurses in White Hall, AR

Khyra Albright, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 W Holland Ave Ste 202, White Hall, AR 71602 Phone: 870-619-4451 Fax: 870-247-7089
Mr. Windell Lamont Johnson Sr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7500 Dollarway Rd Ste 301, White Hall, AR 71602 Phone: 512-201-6766
Kolton Taylor Howe, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave, White Hall, AR 71602 Phone: 870-619-4451
Raluca Tudoreanu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Frankie Ln, White Hall, AR 71602 Phone: 870-247-6105
Melanie Shevonne Bolen, DNP, APRN-CNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave, White Hall, AR 71602 Phone: 870-619-4451
Estee Sneed, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave, Suite 202, White Hall, AR 71602 Phone: 870-850-8055 Fax: 870-850-8056
Jamie Aud, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Holland Ave Ste 202, White Hall, AR 71602 Phone: 870-850-8055 Fax: 870-850-8056

Mrs Nicole Gray, - Medicare Nurse Practitioner in White Hall, AR