Mrs Gwendolyn Sue Ray, LPN is a
Licensed Practical Nurse based in Port William, Ohio. Mrs Gwendolyn Sue Ray is licensed to practice in Ohio (license number 145212) and her current practice location is
266 Main St, Port William, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 218-1069.
NPI number for Mrs Gwendolyn Sue Ray is 1275805699 and her current mailing address is 266 Main St, P.o.box 116, Port William, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275805699.
Provider's Profile
Full Name | Mrs Gwendolyn Sue Ray |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 266 Main St, Port William, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275805699
- Provider Enumeration Date: 01/31/2012
- Last Update Date: 01/31/2012
Medical Identifiers
Medical identifiers for Mrs Gwendolyn Sue Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275805699 | NPI | - | NPPES |
2900141 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 145212 (Ohio) | 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. Mrs Gwendolyn Sue Ray 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 |
Mrs Gwendolyn Sue Ray, LPN 266 Main St, P.o.box 116, Port William, OH 45164-1004 Ph: () - | Mrs Gwendolyn Sue Ray, LPN 266 Main St, Port William, OH 45164-1004 Ph: (937) 218-1069 |
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