Individual ProviderJohn M RayFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3625 Cape Center Dr, Fayetteville, NC 28304-4457(910) 483-6114(910) 482-8132PECOS EnrollmentThis provider is enrolled in PECOS as JOHN RAY.Based on the most recent information from CMS, provider John M Ray is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1134122500Provider TypeIndividualFull NameRay, John MCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/31/2005Last Updated11/19/2007Contact InformationPractice LocationPractice Address3625 Cape Center Dr, Fayetteville, NC 28304-4457Phone(910) 483-6114Fax(910) 483-6225Mailing LocationMailing Address405 Blandford Pl, Fayetteville, NC 28311-0304Phone(910) 482-8132FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense200001524North CarolinaProvider IdentifiersIDDescriptionIssuerID89131F2DescriptionMedicaidIssuerUnlistedNorth Carolina