| Bryan Gray, DO | |
|
750 W High St Ste 300, Lima, OH 45801-2967 | |
| (419) 229-6781 | |
| (614) 386-9506 |
| Full Name | Bryan Gray |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 12 Years |
| Location | 750 W High St Ste 300, Lima, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831514025 | NPI | - | NPPES |
| 34.013501 | Other | OH | OH LICENSE |
| 5101021720 | Other | MI | MI LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lima Memorial Health System | Lima, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Derm Institute Of West Michigan Plc | 5092044487 | 7 |
| Gray Derm Pllc | 2163767278 | 2 |
| Entity Name | Sami Abbasi Do Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497079230 PECOS PAC ID: 4688869712 Enrollment ID: O20101115000342 |
| Entity Name | Derm Institute Of West Michigan Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003460874 PECOS PAC ID: 5092044487 Enrollment ID: O20190910003225 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Gray, DO 750 W High St Ste 300, Lima, OH 45801-2967 Ph: (419) 229-6781 | Bryan Gray, DO 750 W High St Ste 300, Lima, OH 45801-2967 Ph: (419) 229-6781 |
Dr. William O Light, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1005 Bellefontaine Ave, Ste 225, Lima, OH 45804 Phone: 419-228-8191 Fax: 419-229-3490 | |
Michael Riley Heaphy Sr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 750 W High St, Suite 300, Lima, OH 45801 Phone: 419-229-6787 Fax: 419-229-3490 | |
Audrey H. Jones, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 920 W Market St Ste 320, Lima, OH 45805 Phone: 937-433-7536 Fax: 937-433-9612 |