Tara Gray, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lone Star, Texas. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Phynet, Inc. and her current practice location is
123 N Main St, Lone Star, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 656-0633.
Tara Gray is licensed to practice in Texas (license number AP144063) 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 1225674724.
Provider's Profile
| Full Name | Tara Gray |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 123 N Main St, Lone Star, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tara Gray graduated from nursing school in 2019
NPI Data:
- NPI Number: 1225674724
- Provider Enumeration Date: 11/20/2019
- Last Update Date: 11/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618418575
- Enrollment ID: I20240918002941
Medical Identifiers
Medical identifiers for Tara Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225674724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP144063 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phynet, Inc. | 8527038298 | 16 |
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 Gray allows following entities to bill medicare on her behalf.
| Entity Name | Phynet Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144245176
PECOS PAC ID: 8527038298
Enrollment ID: O20040729000674 |
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| Entity Name | Titus County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063548881
PECOS PAC ID: 0143203257
Enrollment ID: O20120525000534 |
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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. Tara 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 |
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Tara Gray, FNP
146 County Road 2226,
Daingerfield, TX 75638-5442
Ph: (903) 656-3618 | Tara Gray, FNP
123 N Main St,
Lone Star, TX 75668-2226
Ph: (903) 656-0633 |
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