Ms Gayla Kay Grisham, LBSW is a
Case Manager/care Coordinator based in Waco, Texas. Ms Gayla Kay Grisham is licensed to practice in Texas (license number 33966) and her current practice location is
421 Villa Drive #209, Waco, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 405-2702.
NPI number for Ms Gayla Kay Grisham is 1114058245 and her current mailing address is 421 Villa Drive #209, Waco, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114058245.
Healthcare Provider's Profile
| Full Name | Ms Gayla Kay Grisham |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 421 Villa Drive #209, Waco, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114058245
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/20/2007
Medical Identifiers
Medical identifiers for Ms Gayla Kay Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114058245 | NPI | - | NPPES |
| 182405401 | Medicaid | TX | |
| 182404701 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 33966 (Texas) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 33966 (Texas) | Primary |
| 251B00000X | Case Management | 33966 (Texas) | Secondary |
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 Gayla Kay Grisham 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 |
|---|
Ms Gayla Kay Grisham, LBSW
421 Villa Drive #209,
Waco, TX 76710
Ph: (254) 405-2702 | Ms Gayla Kay Grisham, LBSW
421 Villa Drive #209,
Waco, TX 76710
Ph: (254) 405-2702 |
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