Dr Adam Wray, DO is a medicare enrolled "Dermatology" physician in Blackfoot, Idaho. His current practice location is
326 Poplar St Ste 101, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at
(986) 275-0003.
Dr Adam Wray is licensed to practice in Idaho (license number O-0444) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902952930.
Physician's Profile
| Full Name | Dr Adam Wray |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 326 Poplar St Ste 101, Blackfoot, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adam Wray attended and graduated from in
NPI Data:
- NPI Number: 1902952930
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Adam Wray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902952930 | NPI | - | NPPES |
| 000010163016 | Other | ID | REGENCE BLUE SHIELD POC |
| S6116 | Other | ID | BLUE CROSS BLKFT |
| S6117 | Other | ID | BLUE CROSS POC |
| 807719000 | Medicaid | ID | |
| 000010163015 | Other | ID | REGENCE BLUE SHIELD BLKFT |
| 315520 | Other | ID | ALTIUS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | O-0444 (Idaho) | 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. Dr Adam Wray 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 |
|---|
Dr Adam Wray, DO
326 Poplar St Ste 101,
Blackfoot, ID 83221-1741
Ph: (986) 275-0003 | Dr Adam Wray, DO
326 Poplar St Ste 101,
Blackfoot, ID 83221-1741
Ph: (986) 275-0003 |
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