| Anna C Gray, Llc | |
|
8224 Mentor Ave Ste 208 Mentor OH 44060-5743 | |
| (440) 622-3728 | |
| Not Available |
| Full Name | Anna C Gray, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8224 Mentor Ave Ste 208, Mentor, Ohio |
| Authorized Official Name and Position | Anna Christine Gray (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 4406223728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna C Gray, Llc 8224 Mentor Ave Ste 208 Mentor OH 44060-5743 Ph: () - | Anna C Gray, Llc 8224 Mentor Ave Ste 208 Mentor OH 44060-5743 Ph: (440) 622-3728 |
| NPI Number | 1922874056 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 2961851068 |
|---|---|
| Medicare Enrollment ID | O20231214002802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922874056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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