Jerry Anthony Gregory, PA is a medicare enrolled "Physician Assistant" in Columbia, Louisiana. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is
421 Main Street, Columbia, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 649-6111.
Jerry Anthony Gregory is licensed to practice in New York (license number 014368) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316055296.
Provider's Profile
Full Name | Jerry Anthony Gregory |
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Gender | Male |
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Speciality | Physician Assistant |
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Experience | 18 Years |
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Location | 421 Main Street, Columbia, Louisiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jerry Anthony Gregory graduated from nursing school in 2006
NPI Data:
- NPI Number: 1316055296
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 09/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 1052317195
- Enrollment ID: I20151229001282
Medical Identifiers
Medical identifiers for Jerry Anthony Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316055296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 014368 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
North Shore - Lij Medical Pc | 3375701568 | 5120 |
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. Jerry Anthony Gregory 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 |
Jerry Anthony Gregory, PA 375 Seguine Ave, Staten Island, NY 10309-3932 Ph: (646) 680-2888 | Jerry Anthony Gregory, PA 421 Main Street, Columbia, LA 71418 Ph: (318) 649-6111 |
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