Larissa Faith Gray, PA-C is a medicare enrolled "Physician Assistant" physician in Casper, Wyoming. Her current practice location is
1522 E A St, Casper, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 234-6161.
Larissa Faith Gray is licensed to practice in Wyoming (license number PA1038) 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 1083344758.
Physician's Profile
Full Name | Larissa Faith Gray |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1522 E A St, Casper, Wyoming |
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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: 1083344758
- Provider Enumeration Date: 06/14/2022
- Last Update Date: 02/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991175168
- Enrollment ID: I20230720001704
Medical Identifiers
Medical identifiers for Larissa Faith Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083344758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA1038 (Wyoming) | Secondary |
363A00000X | Physician Assistant | PA1038 (Wyoming) | 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. Larissa Faith 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 |
Larissa Faith Gray, PA-C 4227 Mink, Casper, WY 82604-4509 Ph: (307) 234-6161 | Larissa Faith Gray, PA-C 1522 E A St, Casper, WY 82601-2254 Ph: (307) 234-6161 |
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