Patricia Gray, is a
Psychologist - School based in Ashkum, Illinois. Patricia Gray is licensed to practice in Illinois (license number 1636596) and her current practice location is
203 N Third St, Ashkum, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 698-2212.
NPI number for Patricia Gray is 1689191157 and her current mailing address is 203 N Third St, Ashkum, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689191157.
Healthcare Provider's Profile
Full Name | Patricia Gray |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 203 N Third St, Ashkum, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689191157
- Provider Enumeration Date: 08/25/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Patricia Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689191157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 1636596 (Illinois) | 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. Patricia 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 |
Patricia Gray, 203 N Third St, Ashkum, IL 60911-6040 Ph: (815) 698-2212 | Patricia Gray, 203 N Third St, Ashkum, IL 60911-6040 Ph: (815) 698-2212 |
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