Amanda Gray, PA-C is a medicare enrolled "Physician Assistant - Medical" in Morenci, Arizona. Her current practice location is
401 Burro Aly, Morenci, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 865-9184.
Amanda Gray is licensed to practice in Arizona (license number 5389) 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 1912158320.
Provider's Profile
Full Name | Amanda Gray |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 401 Burro Aly, Morenci, Arizona |
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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: 1912158320
- Provider Enumeration Date: 10/03/2008
- Last Update Date: 06/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 8325107634
- Enrollment ID: I20140430001103
Medical Identifiers
Medical identifiers for Amanda Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912158320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA9104721 (Florida) | Secondary |
363A00000X | Physician Assistant | PA2009-0040 (New Mexico) | Secondary |
363AM0700X | Physician Assistant - Medical | 5389 (Arizona) | 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. Amanda 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 |
Amanda Gray, PA-C 401 Burro Aly, Po Box 218, Morenci, AZ 85540-9647 Ph: (928) 865-9184 | Amanda Gray, PA-C 401 Burro Aly, Morenci, AZ 85540-9647 Ph: (928) 865-9184 |
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