| Dr Bianca Faith Gray, DO | |
|
10524 E Highway 92, Bisbee, AZ 85603 | |
| (520) 432-2042 | |
| (520) 432-2098 |
| Full Name | Dr Bianca Faith Gray |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 10524 E Highway 92, Bisbee, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376779256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H73482 (Maryland) | Primary |
| Entity Name | Bisbee Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518968767 PECOS PAC ID: 5092626168 Enrollment ID: O20040623001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bianca Faith Gray, DO 101 Cole Ave, Bisbee, AZ 85603-1327 Ph: (520) 432-2042 | Dr Bianca Faith Gray, DO 10524 E Highway 92, Bisbee, AZ 85603 Ph: (520) 432-2042 |
Stephen E Lindstrom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Cole Ave, Bisbee, AZ 85603 Phone: 520-432-2042 Fax: 520-432-2098 | |
Amanda Mae Mckeith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Cole Ave # Ae, Bisbee, AZ 85603 Phone: 520-432-5383 | |
Jessica Lea Watters, M.D., MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Arizona St, Bisbee, AZ 85603 Phone: 520-432-3309 Fax: 520-364-4261 | |
Catherine Khanh-an Vu, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 108 Arizona St, Bisbee, AZ 85603 Phone: 520-432-3309 | |
Theresa M Mcentee, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 108 Arizona St, Bisbee, AZ 85603 Phone: 520-432-1145 Fax: 520-432-1217 | |
Hadi Safavi, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Arizona St, Bisbee, AZ 85603 Phone: 520-432-3309 |