Mrs Amy Goodfellow Wray, PA-C is a
Physician Assistant physician based in La Mesa, California. Mrs Amy Goodfellow Wray is licensed to practice in California (license number PA17578) and her current practice location is 5555 Grossmont Center Dr, La Mesa, California. She can be reached at her office (for appointments etc.) via phone at
(619) 644-3030.
NPI number for Mrs Amy Goodfellow Wray is 1396762076 and her current mailing address is 5555 Grossmont Center Dr, La Mesa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396762076.
Physician's Profile
| Full Name | Mrs Amy Goodfellow Wray |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 5555 Grossmont Center Dr, La Mesa, California |
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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: 1396762076
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 10/14/2014
Medical Identifiers
Medical identifiers for Mrs Amy Goodfellow Wray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396762076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA17578 (California) | Secondary |
| 363A00000X | Physician Assistant | PA17578 (California) | 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. Mrs Amy Goodfellow Wray 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 |
|---|
Mrs Amy Goodfellow Wray, PA-C
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019
Ph: (619) 644-3030 | Mrs Amy Goodfellow Wray, PA-C
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019
Ph: (619) 644-3030 |
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