Mrs Stefanie Lea Gray, APRN-BC | |
117 Kennedy Dr, Martin, TN 38237-3309 | |
(731) 587-9511 | |
(731) 587-0785 |
Full Name | Mrs Stefanie Lea Gray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 117 Kennedy Dr, Martin, Tennessee |
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 |
---|---|---|---|
1891908117 | NPI | - | NPPES |
4157106 | Other | TN | BLUE CROSS BLUE SHIELD |
3341164 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 12648 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bane Medical Management Llc | 0840655494 | 4 |
Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
Entity Name | Emergency Coverage Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20040220000755 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Bane Medical Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962103960 PECOS PAC ID: 0840655494 Enrollment ID: O20230503002798 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stefanie Lea Gray, APRN-BC 117 Kennedy Dr, Martin, TN 38237-3309 Ph: (731) 587-9511 | Mrs Stefanie Lea Gray, APRN-BC 117 Kennedy Dr, Martin, TN 38237-3309 Ph: (731) 587-9511 |
Gary Clinton Foster, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 551 Stella Ruth Rd, Martin, TN 38237 Phone: 731-796-5900 | |
Shannon Deal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: University Of Tn Martin Student Health Services, 609 Lee Street, Martin, TN 38238 Phone: 731-881-7750 Fax: 731-881-7752 | |
Mrs. Billie Jo Kennett, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Hawks Rd, Suite 6, Martin, TN 38237 Phone: 731-587-3454 Fax: 731-587-3460 | |
Victoria Claire Hooper, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Peach St, Martin, TN 38237 Phone: 731-587-2525 Fax: 731-587-2555 | |
Stephanie Jeannette Gardner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Commons Dr, Martin, TN 38237 Phone: 731-587-5138 | |
Anthony Sneed, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Kennedy Dr, Martin, TN 38237 Phone: 731-587-9511 Fax: 731-587-0785 | |
Morgan S Stone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 143 Kennedy Dr, Martin, TN 38237 Phone: 731-587-5321 Fax: 731-587-5321 |