| Dr Bradley Wayne Gray, MD | |
|
2170 South Ave, South Lake Tahoe, CA 96150-7026 | |
| (530) 541-3420 | |
| Not Available |
| Full Name | Dr Bradley Wayne Gray |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 11 Years |
| Location | 2170 South Ave, South Lake Tahoe, California |
| 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 |
|---|---|---|---|
| 1851785976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | E-10753 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | E-10753 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barton Healthcare System | 1850293960 | 18 |
| Barton Healthcare System | 1850293960 | 18 |
| Barton Medical Foundation | 5395127682 | 87 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Wayne Gray, MD 1808 W Main St, Russellville, AR 72801-2724 Ph: (479) 964-4178 | Dr Bradley Wayne Gray, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 541-3420 |
Dr. Matthew Paul Wonnacott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Dr. Brooks Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 | |
Dr. Paul William Rork, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Dr. Abby Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2155 South Ave, #25-a, South Lake Tahoe, CA 96158 Phone: 530-541-3286 Fax: 530-541-2005 | |
Jacob Marquette, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 | |
Nattili Galien, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 7827, South Lake Tahoe, CA 96158 Phone: 541-660-3896 | |
Dr. Tamara Mcbride, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 Fax: 530-542-0382 |