Gregory Mabry, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Fort Sam Houston, Texas. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rising Phoenix Wellness Center, Llc, Sentience Psychotherapy Llc and his current practice location is
3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 808-2549.
Gregory Mabry is licensed to practice in Washington (license number AP61234580) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477851475.
Healthcare Provider's Profile
| Full Name | Gregory Mabry |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gregory Mabry graduated from medical school in 2021
NPI Data:
- NPI Number: 1477851475
- Provider Enumeration Date: 03/01/2011
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658758289
- Enrollment ID: I20220519001551
Medical Identifiers
Medical identifiers for Gregory Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477851475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | C008166 (North Carolina) | Secondary |
| 163W00000X | Registered Nurse | 974125 (Texas) | Secondary |
| 163W00000X | Registered Nurse | RN61227134 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61234580 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rising Phoenix Wellness Center, Llc | 1557601051 | 2 |
| Sentience Psychotherapy Llc | 8224568670 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gregory Mabry allows following entities to bill medicare on his behalf.
| Entity Name | Jana M Robison |
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| Entity Type | Practitioner - Nurse Practitioner |
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| Entity Identifiers | NPI Number: 1467177469
PECOS PAC ID: 4486026168
Enrollment ID: I20230206001882 |
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| Entity Name | Rising Phoenix Wellness Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992261853
PECOS PAC ID: 1557601051
Enrollment ID: O20190320000993 |
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| Entity Name | Nvelup Telehealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356952766
PECOS PAC ID: 7719398569
Enrollment ID: O20201130000924 |
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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. Gregory Mabry 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 |
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Gregory Mabry,
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: () - | Gregory Mabry,
3551 Roger Brooke Dr,
Fort Sam Houston, TX 78234-4504
Ph: (210) 808-2549 |
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