Nichole Ray, DNP, MSN/MHA, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Smithfield, Kentucky. Her current practice location is
3701 Ballard Vista Ct, Smithfield, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 702-1100.
Nichole Ray is licensed to practice in Kentucky (license number 3012902) 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 1194280180.
Provider's Profile
| Full Name | Nichole Ray |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3701 Ballard Vista Ct, Smithfield, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194280180
- Provider Enumeration Date: 02/05/2019
- Last Update Date: 02/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335521160
- Enrollment ID: I20220726003796
Medical Identifiers
Medical identifiers for Nichole Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194280180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3012902 (Kentucky) | 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. Nichole Ray allows following entities to bill medicare on her behalf.
| Entity Name | University Of Louisville Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036 |
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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. Nichole 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 |
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Nichole Ray, DNP, MSN/MHA, FNP-C
3701 Ballard Vista Ct,
Smithfield, KY 40068-9320
Ph: (502) 702-1100 | Nichole Ray, DNP, MSN/MHA, FNP-C
3701 Ballard Vista Ct,
Smithfield, KY 40068-9320
Ph: (502) 702-1100 |
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