Heather L Gray, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Ham Lake, Minnesota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Bluestone Physician Services Pa and her current practice location is
4605 141st Ln Ne, Ham Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 310-7749.
Heather L Gray is licensed to practice in Minnesota (license number 12742) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598251308.
Provider's Profile
Full Name | Heather L Gray |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 6 Years |
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Location | 4605 141st Ln Ne, Ham Lake, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Heather L Gray graduated from nursing school in 2018
NPI Data:
- NPI Number: 1598251308
- Provider Enumeration Date: 07/04/2018
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658623558
- Enrollment ID: I20181003003249
Medical Identifiers
Medical identifiers for Heather L Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598251308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 4895 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 12742 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bluestone Physician Services Pa | 4486658333 | 56 |
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. Heather L 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 |
Heather L Gray, PHYSICIAN ASSISTANT 4605 141st Ln Ne, Ham Lake, MN 55304-2880 Ph: (218) 310-7749 | Heather L Gray, PHYSICIAN ASSISTANT 4605 141st Ln Ne, Ham Lake, MN 55304-2880 Ph: (218) 310-7749 |
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