| Dr Angela Lorraine Gray, MD | |
|
1608 S J St Fl 1, Tacoma, WA 98405-4930 | |
| (253) 274-7501 | |
| (206) 246-0468 |
| Full Name | Dr Angela Lorraine Gray |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
| Location | 1608 S J St Fl 1, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013947142 | NPI | - | NPPES |
| P010232675 | Other | NY | BLUE CHOICE |
| 2137369 | Medicaid | WA | |
| 02565180 | Medicaid | NY | |
| 7380613 | Other | NY | AETNA |
| P020232675 | Other | NY | BLUE SHIELD OF ROCHESTER |
| 140226CK | Other | NY | PREFERRED CARE |
| 010203600 | Medicaid | FL | |
| 14T9X | Other | FL | BCBS |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Lorraine Gray, MD 1608 S J St Fl 1, Tacoma, WA 98405-4930 Ph: (253) 274-7501 | Dr Angela Lorraine Gray, MD 1608 S J St Fl 1, Tacoma, WA 98405-4930 Ph: (253) 274-7501 |
Dr. Melodie M Icasiano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431 Phone: 253-968-1740 | |
Wesley Boyd Davis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1717 S J St # Wa, Tacoma, WA 98405 Phone: 253-625-1104 | |
Kalli Plummer, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 253-274-7991 | |
James Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-4747 | |
Amanda Carpenter Cousins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 Phone: 301-295-4000 | |
Ladonna Rae Jones, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-9860 |