Samantha Jamie Gray, DDS is a medicare enrolled "Dentist" provider in Hermon, Maine. Her current practice location is
2370 Route 2, Hermon, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 605-0220.
Samantha Jamie Gray is licensed to practice in Maine (license number DEN4071) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982863486.
Healthcare Provider's Profile
Full Name | Samantha Jamie Gray |
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Gender | Female |
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Speciality | Dentist |
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Location | 2370 Route 2, Hermon, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982863486
- Provider Enumeration Date: 06/09/2008
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507146008
- Enrollment ID: I20161129000499
Medical Identifiers
Medical identifiers for Samantha Jamie Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982863486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DEN4071 (Maine) | 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. Samantha Jamie 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 Address | Practice Location Address |
Samantha Jamie Gray, DDS 2370 Route 2, Hermon, ME 04401-0622 Ph: (207) 605-0220 | Samantha Jamie Gray, DDS 2370 Route 2, Hermon, ME 04401-0622 Ph: (207) 605-0220 |
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