Tara Cornella Gray, APRN in London, KY - Medicare Nurse Practitioner

Tara Cornella Gray, APRN is a medicare enrolled "Nurse Practitioner - Family" in London, Kentucky. Her current practice location is 740 E Laurel Rd, London, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 877-3950.

Tara Cornella Gray is licensed to practice in Kentucky (license number 3019042) 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 1134827926.

Contact Information

	Tara Cornella Gray, APRN
	740 E Laurel Rd, London, KY 40741-8601
	(606) 877-3950
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Cornella Gray
Gender	Female
Speciality	Nurse Practitioner - Family
Location	740 E Laurel Rd, London, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134827926
Provider Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6800250911
Enrollment ID: I20230907003243

Medical Identifiers

Medical identifiers for Tara Cornella Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134827926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3019042 (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. Tara Cornella Gray allows following entities to bill medicare on her behalf.

Entity Name	Brock Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567

Entity Name	Fast Pace Kentucky, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913

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. Tara Cornella 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
Tara Cornella Gray, APRN 57 Sarvis Branch Rd, Manchester, KY 40962-6354 Ph: (606) 813-3171	Tara Cornella Gray, APRN 740 E Laurel Rd, London, KY 40741-8601 Ph: (606) 877-3950

Reviews and Comments

Nurse Practitioner Nurses in London, KY

Robin R House, APRN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1406 W 5th St, Suite 201, London, KY 40741 Phone: 606-330-2377 Fax: 606-330-2369
Mrs. Angela Jo Cain, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1374 Highway 192 E Ste 400, London, KY 40741 Phone: 606-770-5454 Fax: 606-770-5455
Mrs. Stephanie Marie Sumner, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 London Mountain View Dr Fl 1, London, KY 40741 Phone: 859-275-5229 Fax: 859-977-2683
Mrs. Ashley Barton, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 421 W Highway 80, London, KY 40741 Phone: 606-657-2345
Yalanda Dairlene Scalf, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 73 Thompson Poynter Rd Ste A, London, KY 40741 Phone: 606-657-5912 Fax: 606-657-5915
Royale Brown, MSN, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Carrera Dr, London, KY 40741 Phone: 606-260-8962
David Cody Dugger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 London Mountain View Dr, London, KY 40741 Phone: 606-864-0770 Fax: 606-864-1461

Tara Cornella Gray, APRN - Medicare Nurse Practitioner in London, KY