Amelia Anne Gray, PT, DPT in San Diego, CA - Medicare Physical Therapist Provider

Amelia Anne Gray, PT, DPT is a medicare enrolled "Physical Therapist" provider in San Diego, California. Her current practice location is 12250 El Camino Real Ste 190, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 793-1460.

Amelia Anne Gray is licensed to practice in California (license number 301562) 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 1124674742.

Contact Information

	Amelia Anne Gray, PT, DPT
	12250 El Camino Real Ste 190, San Diego, CA 92130-2298
	(858) 793-1460
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amelia Anne Gray
Gender	Female
Speciality	Physical Therapist
Location	12250 El Camino Real Ste 190, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124674742
Provider Enumeration Date: 08/12/2019
Last Update Date: 03/16/2022

Medicare PECOS Information:

PECOS PAC ID: 0143552323
Enrollment ID: I20201123002334

Medical Identifiers

Medical identifiers for Amelia Anne Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124674742	NPI	-	NPPES
301562	Other	CA	PHYSICAL THERAPY BOARD OF CALIFORNIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	301562 (California)	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. Amelia Anne Gray allows following entities to bill medicare on her behalf.

Provider Name	Physical Therapy For Women, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1144406539 PECOS PAC ID: 6709045453 Enrollment ID: O20120315000500

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. Amelia Anne 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
Amelia Anne Gray, PT, DPT 12250 El Camino Real Ste 190, San Diego, CA 92130-2298 Ph: (770) 328-2304	Amelia Anne Gray, PT, DPT 12250 El Camino Real Ste 190, San Diego, CA 92130-2298 Ph: (858) 793-1460

Reviews and Comments

Physical Therapist in San Diego, CA

Carmen L Luk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868
Emily Richard, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3115 Ocean Front Walk, San Diego, CA 92109 Phone: 858-488-3597 Fax: 858-746-4041
Dr. Alona Mary Yacobovsky, DPT, CWS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8555 Station Village Ln Apt 3217, San Diego, CA 92108 Phone: 702-525-9299
Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189
Mrs. Linda Reid Holland, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7487

Amelia Anne Gray, PT, DPT - Medicare Physical Therapist in San Diego, CA