Larissa Faith Gray, PA-C - Medicare Physician Assistant in Casper, WY

Larissa Faith Gray, PA-C is a medicare enrolled "Physician Assistant" physician in Casper, Wyoming. Her current practice location is 1522 E A St, Casper, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 234-6161.

Larissa Faith Gray is licensed to practice in Wyoming (license number PA1038) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083344758.

Contact Information

Larissa Faith Gray, PA-C
1522 E A St,
Casper, WY 82601-2254
(307) 234-6161
Not Available



Physician's Profile

Full NameLarissa Faith Gray
GenderFemale
SpecialityPhysician Assistant
Location1522 E A St, Casper, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083344758
  • Provider Enumeration Date: 06/14/2022
  • Last Update Date: 02/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991175168
  • Enrollment ID: I20230720001704

Medical Identifiers

Medical identifiers for Larissa Faith Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083344758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine PA1038 (Wyoming)Secondary
363A00000XPhysician Assistant PA1038 (Wyoming)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. Larissa Faith 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 AddressPractice Location Address
Larissa Faith Gray, PA-C
4227 Mink,
Casper, WY 82604-4509

Ph: (307) 234-6161
Larissa Faith Gray, PA-C
1522 E A St,
Casper, WY 82601-2254

Ph: (307) 234-6161

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