Ty Lynn Gray, is a
Peer Specialist based in Spokane Valley, Washington. Ty Lynn Gray is licensed to practice in * (Not Available) (license number ) and his current practice location is
1101 N Argonne Rd, Spokane Valley, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 838-4651.
NPI number for Ty Lynn Gray is 1104510155 and his current mailing address is 107 S Division St, Spokane, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104510155.
Healthcare Provider's Profile
Full Name | Ty Lynn Gray |
---|
Gender | Male |
---|
Speciality | Peer Specialist |
---|
Location | 1101 N Argonne Rd, Spokane Valley, Washington |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104510155
- Provider Enumeration Date: 06/05/2023
- Last Update Date: 10/03/2023
Medical Identifiers
Medical identifiers for Ty Lynn Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104510155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | CG61448910 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | 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. Ty Lynn 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 |
Ty Lynn Gray, 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651 | Ty Lynn Gray, 1101 N Argonne Rd, Spokane Valley, WA 99212-2699 Ph: (509) 838-4651 |
Reviews and Comments