Carla J Gray, is a
Clinical Nurse Specialist - Long-term Care based in Bedford, Indiana. Carla J Gray is licensed to practice in Indiana (license number 28205916A) and her current practice location is
3100 Shawnee Dr S, Bedford, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 675-4154.
NPI number for Carla J Gray is 1205405016 and her current mailing address is 3100 Shawnee Dr S, Bedford, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205405016.
Provider's Profile
Full Name | Carla J Gray |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Long-term Care |
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Location | 3100 Shawnee Dr S, Bedford, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205405016
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 06/24/2021
Medical Identifiers
Medical identifiers for Carla J Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205405016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SL0600X | Clinical Nurse Specialist - Long-term Care | 28205916A (Indiana) | 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. Carla J Gray 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 |
Carla J Gray, 3100 Shawnee Dr S, Bedford, IN 47421-5287 Ph: () - | Carla J Gray, 3100 Shawnee Dr S, Bedford, IN 47421-5287 Ph: (812) 675-4154 |
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