Mrs Haley Elise Gravely, PA-C in Marion, OH - Medicare Physician Assistant

Mrs Haley Elise Gravely, PA-C is a medicare enrolled "Physician Assistant" in Marion, Ohio. Her current practice location is 1063 Harding Memorial Pkwy Ste A, Marion, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 244-8550.

Mrs Haley Elise Gravely is licensed to practice in Ohio (license number 50.007657RX) 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 1043942766.

Contact Information

	Mrs Haley Elise Gravely, PA-C
	1063 Harding Memorial Pkwy Ste A, Marion, OH 43302-6375
	(740) 244-8550
	(740) 751-4584

Provider's Profile

Full Name	Mrs Haley Elise Gravely
Gender	Female
Speciality	Physician Assistant
Location	1063 Harding Memorial Pkwy Ste A, Marion, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043942766
Provider Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022

Medicare PECOS Information:

PECOS PAC ID: 7113309675
Enrollment ID: I20220729002082

Medical Identifiers

Medical identifiers for Mrs Haley Elise Gravely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043942766	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50.007657RX (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 Haley Elise Gravely 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 Address	Practice Location Address
Mrs Haley Elise Gravely, PA-C 1063 Harding Memorial Pkwy Ste A, Marion, OH 43302-6375 Ph: (740) 244-8550	Mrs Haley Elise Gravely, PA-C 1063 Harding Memorial Pkwy Ste A, Marion, OH 43302-6375 Ph: (740) 244-8550

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Physician Assistant Nurses in Marion, OH

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Mrs Haley Elise Gravely, PA-C - Medicare Physician Assistant in Marion, OH