Bernadette Gray, FNP | |
165 Mary St, Lawrenceburg, IN 47025-1921 | |
(812) 584-4563 | |
Not Available |
Full Name | Bernadette Gray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 165 Mary St, Lawrenceburg, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497370019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71010091A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Extended Care Specialists, Inc | 2466407713 | 195 |
Eventus Wholehealth Midwest Inc | 4183040470 | 122 |
Entity Name | Extended Care Specialists, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
Entity Name | Eventus Wholehealth Midwest Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277 |
Mailing Address | Practice Location Address |
---|---|
Bernadette Gray, FNP 9421 Acacia Psge, Fort Wayne, IN 46835-9101 Ph: (260) 580-0029 | Bernadette Gray, FNP 165 Mary St, Lawrenceburg, IN 47025-1921 Ph: (812) 584-4563 |
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