Latisha Monique Gray, PA-C in Bridgeport, CT - Physician Assistant

Latisha Monique Gray, PA-C is a Physician Assistant - Surgical based in Bridgeport, Connecticut. Latisha Monique Gray is licensed to practice in Connecticut (license number 002538) and her current practice location is 72 Cogswell St, Bridgeport, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 650-3451.

NPI number for Latisha Monique Gray is 1629364914 and her current mailing address is 72 Cogswell St, Bridgeport, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629364914.

Contact Information

	Latisha Monique Gray, PA-C
	72 Cogswell St, Bridgeport, CT 06610-1945
	(203) 650-3451
	Not Available

Provider's Profile

Full Name	Latisha Monique Gray
Gender	Female
Speciality	Physician Assistant - Surgical
Location	72 Cogswell St, Bridgeport, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1629364914
Provider Enumeration Date: 06/24/2011
Last Update Date: 06/24/2011

Medical Identifiers

Medical identifiers for Latisha Monique Gray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629364914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	002538 (Connecticut)	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. Latisha Monique 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
Latisha Monique Gray, PA-C 72 Cogswell St, Bridgeport, CT 06610-1945 Ph: (203) 650-3451	Latisha Monique Gray, PA-C 72 Cogswell St, Bridgeport, CT 06610-1945 Ph: (203) 650-3451

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Physician Assistant Nurses in Bridgeport, CT

Mr. Alex Scott Cadan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4500 Fax: 203-384-3812
Daniel Paoletti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Ms. Katie Lynn Merithew, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3199
Alan Olson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Margaret Parisi, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Mr. Michael Asare, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Brent M Reilly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St.vincents Multispecialty Group, Bridgeport, CT 06606 Phone: 203-576-6000

Latisha Monique Gray, PA-C - Physician Assistant in Bridgeport, CT