Ms Mary B Gray, RPA-C - Medicare Physician Assistant in Albany, NY

Ms Mary B Gray, RPA-C is a medicare enrolled "Physician Assistant - Medical" in Albany, New York. Her current practice location is 113 Holland Ave, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 626-6077.

Ms Mary B Gray is licensed to practice in New York (license number 005232-1) 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 1205941713.

Contact Information

Ms Mary B Gray, RPA-C
113 Holland Ave,
Albany, NY 12208-3410
(518) 626-6077
(518) 626-6045



Provider's Profile

Full NameMs Mary B Gray
GenderFemale
SpecialityPhysician Assistant - Medical
Location113 Holland Ave, Albany, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205941713
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739378241
  • Enrollment ID: I20110421000035

Medical Identifiers

Medical identifiers for Ms Mary B Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205941713NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 005232-1 (New York)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. Ms Mary B 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
Ms Mary B Gray, RPA-C
22 Genesee Ave,
Rensselaer, NY 12144-3612

Ph: (518) 449-2332
Ms Mary B Gray, RPA-C
113 Holland Ave,
Albany, NY 12208-3410

Ph: (518) 626-6077

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