John B Gray, MD - Medicare Pathology in Twin Falls, ID

John B Gray, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Twin Falls, Idaho. His current practice location is 801 Pole Line Rd W, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 814-0364.

John B Gray is licensed to practice in Idaho (license number M-4393) 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 1265497333.

Contact Information

John B Gray, MD
801 Pole Line Rd W,
Twin Falls, ID 83301-5810
(208) 814-0364
Not Available



Physician's Profile

Full NameJohn B Gray
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location801 Pole Line Rd W, Twin Falls, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265497333
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 07/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9234228164
  • Enrollment ID: I20120109000408

Medical Identifiers

Medical identifiers for John B Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265497333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology M-4393 (Idaho)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. John B Gray allows following entities to bill medicare on his behalf.
Entity NameValley Pathology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124072798
PECOS PAC ID: 0244329175
Enrollment ID: O20071130000133

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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. John B 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
John B Gray, MD
Po Box 553,
Twin Falls, ID 83303-0553

Ph: (208) 736-0887
John B Gray, MD
801 Pole Line Rd W,
Twin Falls, ID 83301-5810

Ph: (208) 814-0364

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Pathology Doctors in Twin Falls, ID

Dr. Jane Ann Bennett-munro, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 650 Addison Ave W, Twin Falls, ID 83303
Phone: 208-737-2035    
Michael E Gray, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-0362    
Dr. Kirk C Peterson, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 801 Pole Line Rd W, Department Of Pathology, Twin Falls, ID 83301
Phone: 208-814-0363    Fax: 208-814-0911

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