Dr Jill Maven Gray, PSYD, LP - Medicare Psychologist in St Louis Park, MN

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Dr Jill Maven Gray, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in St Louis Park, Minnesota. She graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Family Innovations Inc and her current practice location is 4201 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 933-8900.

Dr Jill Maven Gray is licensed to practice in Minnesota (license number LP3557) 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 1124124045.

Contact Information

Dr Jill Maven Gray, PSYD, LP
4201 Excelsior Blvd,
St Louis Park, MN 55416-4728
(952) 933-8900
(952) 945-9536

Map and Direction




Healthcare Provider's Profile

Full NameDr Jill Maven Gray
GenderFemale
SpecialityClinical Psychologist
Experience30 Years
Location4201 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jill Maven Gray graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1124124045
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 04/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799727095
  • Enrollment ID: I20050526000515

Medical Identifiers

Medical identifiers for Dr Jill Maven Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124124045NPI-NPPES
920215300MedicaidMN
61-56740OtherMNMEDICA - UBH
996N6AJOtherMNBLUE CROSS/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP3557 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Innovations Inc620417852857

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. Dr Jill Maven Gray allows following entities to bill medicare on her behalf.
Entity NameSwenson Psychological Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740429307
PECOS PAC ID: 9638200793
Enrollment ID: O20100706000654
Entity NameMinnesota Medical And Rehabilitative Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154302545
PECOS PAC ID: 6406764703
Enrollment ID: O20100728001200
Entity NameFamily Innovations Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992862783
PECOS PAC ID: 6204178528
Enrollment ID: O20190506002814

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. Dr Jill Maven 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 AddressPractice Location Address
Dr Jill Maven Gray, PSYD, LP
4201 Excelsior Blvd,
St Louis Park, MN 55416-4728

Ph: (952) 933-8900		Dr Jill Maven Gray, PSYD, LP
4201 Excelsior Blvd,
St Louis Park, MN 55416-4728

Ph: (952) 933-8900

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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