Laura E Gray, LPC, MSN - Medicare in Brookfield, WI

Laura E Gray, LPC, MSN is a medicare enrolled "Counselor - Professional" provider in Brookfield, Wisconsin. Her current practice location is 16535 W Bluemound Rd Ste 200, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 789-1191.

Laura E Gray is licensed to practice in Wisconsin (license number 4852-125) 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 1760508113.

Contact Information

Laura E Gray, LPC, MSN
16535 W Bluemound Rd Ste 200,
Brookfield, WI 53005-5906
(262) 789-1191
(262) 821-6180



Healthcare Provider's Profile

Full NameLaura E Gray
GenderFemale
SpecialityCounselor - Professional
Location16535 W Bluemound Rd Ste 200, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760508113
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 05/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2466896477
  • Enrollment ID: I20240219000425

Medical Identifiers

Medical identifiers for Laura E Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760508113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 96397-030 (Wisconsin)Secondary
101YP2500XCounselor - Professional 4852-125 (Wisconsin)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. Laura E Gray allows following entities to bill medicare on her behalf.
Entity NameShore Counseling And Consulting Clinic Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588710073
PECOS PAC ID: 3072580547
Enrollment ID: O20040914000637

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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. Laura E 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
Laura E Gray, LPC, MSN
16535 W Bluemound Rd Ste 200,
Brookfield, WI 53005-5906

Ph: (262) 789-1191
Laura E Gray, LPC, MSN
16535 W Bluemound Rd Ste 200,
Brookfield, WI 53005-5906

Ph: (262) 789-1191

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