| Jennifer G Ray, MD | |
|
1177 E Cherry Street, Troy, MO 63379-1520 | |
| (636) 528-3377 | |
| (636) 528-3335 |
| Full Name | Jennifer G Ray |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1177 E Cherry Street, Troy, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437478476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2015023683 (Missouri) | Primary |
| Entity Name | SSM Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | SSM Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer G Ray, MD 1177 E Cherry Street, Troy, MO 63379-1520 Ph: (636) 528-1919 | Jennifer G Ray, MD 1177 E Cherry Street, Troy, MO 63379-1520 Ph: (636) 528-3377 |
Michelle Lynn Phillips, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 132 Professional Pkwy, Troy, MO 63379 Phone: 614-462-5437 Fax: 636-462-3001 |