Look up the most recent NPI and PECOS records

Autumn Jean Ray

Emergency Medicine

Allopathic & Osteopathic Physicians

269 S Candy Ln, Cottonwood, AZ 86326-4158

PECOS Enrollment

This provider is enrolled in PECOS as AUTUMN RAY.

Based on the most recent information from CMS, provider Autumn Jean Ray is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1104137504
Provider Type
Individual
Full Name
Ray, Autumn Jean
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/30/2010
Last Updated
9/11/2020

Contact Information

Practice Location

269 S Candy Ln, Cottonwood, AZ 86326-4158

(928) 639-6172

Unlisted Fax

Mailing Location

1200 N Beaver St, Flagstaff, AZ 86001-3118

(928) 213-6235

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License R72192 Arizona

Autumn Jean Ray

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Walker, Corrine

Mccarrell, Elizabeth Lightner

Emergency Health Partners-Verde Valley Plc

Piatt, David

Eastman, Robert Royal

Emergency Medicine Physicians Of Yavapai County, Pllc

Emergency Physicians Medical Group, Inc

Larsen, Sean

Braun, Barbara J

Strouse, Connie