Bryan Gray, DO | |
525 N Eastown Rd Ste A, Lima, OH 45807-2268 | |
(419) 998-8297 | |
(419) 226-8309 |
Full Name | Bryan Gray |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 11 Years |
Location | 525 N Eastown Rd Ste A, Lima, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831514025 | NPI | - | NPPES |
34.013501 | Other | OH | OH LICENSE |
5101021720 | Other | MI | MI LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 5101021720 (Michigan) | Secondary |
207N00000X | Dermatology | 34.013501 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lima Memorial Health System | Lima, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Derm Institute Of West Michigan Plc | 5092044487 | 7 |
Gray Derm Pllc | 2163767278 | 2 |
Entity Name | Sami Abbasi Do Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497079230 PECOS PAC ID: 4688869712 Enrollment ID: O20101115000342 |
Entity Name | Derm Institute Of West Michigan Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003460874 PECOS PAC ID: 5092044487 Enrollment ID: O20190910003225 |
Mailing Address | Practice Location Address |
---|---|
Bryan Gray, DO 1005 Bellefontaine Ave Ste 300, Lima, OH 45804-2881 Ph: (419) 998-8297 | Bryan Gray, DO 525 N Eastown Rd Ste A, Lima, OH 45807-2268 Ph: (419) 998-8297 |
Dr. William O Light, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1005 Bellefontaine Ave, Ste 225, Lima, OH 45804 Phone: 419-228-8191 Fax: 419-229-3490 | |
Michael Riley Heaphy Sr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6787 Fax: 419-229-3490 | |
Audrey H. Jones, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 920 W Market St Ste 320, Lima, OH 45805 Phone: 937-433-7536 Fax: 937-433-9612 |