Dr Jordan Holt Gray, - Medicare Dentist in Bessemer, AL

Dr Jordan Holt Gray, is a medicare enrolled "Dentist - Prosthodontics" provider in Bessemer, Alabama. His current practice location is 5751 Pocahontas Rd Ste A, Suite 5, Bessemer, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 477-4242.

Dr Jordan Holt Gray is licensed to practice in Alabama (license number 5360) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073607404.

Contact Information

Dr Jordan Holt Gray,
5751 Pocahontas Rd Ste A, Suite 5,
Bessemer, AL 35022-5478
(205) 477-4242
(205) 477-4243



Healthcare Provider's Profile

Full NameDr Jordan Holt Gray
GenderMale
SpecialityDentist - Prosthodontics
Location5751 Pocahontas Rd Ste A, Bessemer, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073607404
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 05/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5799923520
  • Enrollment ID: I20180607002760

Medical Identifiers

Medical identifiers for Dr Jordan Holt Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073607404NPI-NPPES
5360OtherALLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics 5360 (Alabama)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. Dr Jordan Holt Gray allows following entities to bill medicare on his behalf.
Entity NameMccalla Family Dentistry Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043313281
PECOS PAC ID: 4284872011
Enrollment ID: O20180209002369

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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. Dr Jordan Holt 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 Jordan Holt Gray,
5751 Pocahontas Road, Suite A,
Bessemer, AL 35022-5478

Ph: (205) 477-4242
Dr Jordan Holt Gray,
5751 Pocahontas Rd Ste A, Suite 5,
Bessemer, AL 35022-5478

Ph: (205) 477-4242

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Dentist in Bessemer, AL

Dr. Katherine R Hubbard, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1700 6th Ave N, Bessemer, AL 35020
Phone: 337-250-0053    
Wendy Broussard Poczatek, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 5751 Pocahontas Rd Ste A, Suite A, Bessemer, AL 35022
Phone: 205-477-4242    Fax: 205-477-4243
Dr. Samuel Evans Mullen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1700 6th Ave N, Bessemer, AL 35020
Phone: 205-434-2031    
Dr. Ted Marek Poczatek, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 5751 Pocahontas Rd, Suite A, Bessemer, AL 35022
Phone: 205-477-4242    Fax: 205-477-4243
Mr. John Sebastian Bivona Sr., DENTIST GP DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1430 3rd Ave N, Bessemer, AL 35020
Phone: 205-428-4086    Fax: 205-428-4088
Dr. Robert D Gamotis, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1700 6th Ave N, Bessemer, AL 35020
Phone: 205-565-1012    

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