Dr Adam Wray, DO - Medicare Dermatology in Blackfoot, ID

Dr Adam Wray, DO is a medicare enrolled "Dermatology" physician in Blackfoot, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Bmh Inc and his current practice location is 326 Poplar St, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-5801.

Dr Adam Wray is licensed to practice in Idaho (license number O-0444) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902952930.

Contact Information

Dr Adam Wray, DO
326 Poplar St,
Blackfoot, ID 83221-1741
(208) 785-5801
Not Available



Physician's Profile

Full NameDr Adam Wray
GenderMale
SpecialityDermatology
Experience21 Years
Location326 Poplar St, Blackfoot, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adam Wray attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2003
  NPI Data:
  • NPI Number: 1902952930
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 04/17/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4385696137
  • Enrollment ID: I20171121000479

Medical Identifiers

Medical identifiers for Dr Adam Wray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902952930NPI-NPPES
S6117OtherIDBLUE CROSS POC
000010163015OtherIDREGENCE BLUE SHIELD BLKFT
000010163016OtherIDREGENCE BLUE SHIELD POC
315520OtherIDALTIUS
S6116OtherIDBLUE CROSS BLKFT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology O-0444 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bingham Memorial HospitalBlackfoot, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bmh Inc8426149758124

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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 Adam Wray allows following entities to bill medicare on his behalf.
Entity NameHw Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750800033
PECOS PAC ID: 4880951201
Enrollment ID: O20171120001906

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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 Adam Wray 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 Adam Wray, DO
98 Poplar St,
Blackfoot, ID 83221-1758

Ph: (208) 785-4100
Dr Adam Wray, DO
326 Poplar St,
Blackfoot, ID 83221-1741

Ph: (208) 785-5801

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Dermatology Doctors in Blackfoot, ID


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