Mary Amanda Gray, is a
Dietitian, Registered based in Urbanna, Virginia. Mary Amanda Gray is licensed to practice in Virginia (license number 885502) and her current practice location is
5306 Old Virginia Street, Urbanna, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 814-6432.
NPI number for Mary Amanda Gray is 1114400884 and her current mailing address is 103 Buckingham Dr, Yorktown, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114400884.
Healthcare Provider's Profile
Full Name | Mary Amanda Gray |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 5306 Old Virginia Street, Urbanna, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114400884
- Provider Enumeration Date: 09/10/2018
- Last Update Date: 09/10/2018
Medical Identifiers
Medical identifiers for Mary Amanda Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114400884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 885502 (Virginia) | 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. Mary Amanda 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 |
Mary Amanda Gray, 103 Buckingham Dr, Yorktown, VA 23692-4504 Ph: (757) 814-6432 | Mary Amanda Gray, 5306 Old Virginia Street, Urbanna, VA 23692 Ph: (757) 814-6432 |
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