Dr Kristyn Marie Gregory, DO is a
Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Washington, Michigan. Dr Kristyn Marie Gregory is licensed to practice in Michigan (license number 5101014561) and her current practice location is 57327 Van Dyke Rd, Washington, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 203-2020.
NPI number for Dr Kristyn Marie Gregory is 1295729267 and her current mailing address is 16075 White Water Dr, Macomb, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295729267.
Physician's Profile
| Full Name | Dr Kristyn Marie Gregory |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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| Location | 57327 Van Dyke Rd, Washington, Michigan |
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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: 1295729267
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 10/01/2007
Medical Identifiers
Medical identifiers for Dr Kristyn Marie Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295729267 | NPI | - | NPPES |
| 2655012874 | Other | MI | BCBSM |
| 20-8324146 | Other | MI | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101014561 (Michigan) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 5101014561 (Michigan) | 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 Kristyn Marie Gregory 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 |
|---|
Dr Kristyn Marie Gregory, DO
16075 White Water Dr,
Macomb, MI 48042-6183
Ph: (586) 203-2020 | Dr Kristyn Marie Gregory, DO
57327 Van Dyke Rd,
Washington, MI 48094-2892
Ph: (586) 203-2020 |
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