Brooke Gray, is a
Case Manager/care Coordinator based in Diamond Springs, California. Brooke Gray is licensed to practice in California (license number ) and her current practice location is
4250 Fowler Ln Ste 204, Diamond Springs, California. She can be reached at her office (for appointments etc.) via phone at
(530) 626-3105.
NPI number for Brooke Gray is 1770245052 and her current mailing address is 4250 Fowler Ln Ste 204, Diamond Springs, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770245052.
Healthcare Provider's Profile
| Full Name | Brooke Gray |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 4250 Fowler Ln Ste 204, Diamond Springs, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770245052
- Provider Enumeration Date: 10/13/2021
- Last Update Date: 05/22/2023
Medical Identifiers
Medical identifiers for Brooke Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770245052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Primary |
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. Brooke Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brooke Gray,
4250 Fowler Ln Ste 204,
Diamond Springs, CA 95619-9782
Ph: (530) 626-3105 | Brooke Gray,
4250 Fowler Ln Ste 204,
Diamond Springs, CA 95619-9782
Ph: (530) 626-3105 |
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