Larissa Faith Gray, PA-C is a medicare enrolled "Physician Assistant" physician in Casper, Wyoming. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice University Of Wyoming and her current practice location is
1522 E A St, Casper, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 234-6161.
Larissa Faith Gray is licensed to practice in Wyoming (license number PA1038) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083344758.
Physician's Profile
| Full Name | Larissa Faith Gray |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 1522 E A St, Casper, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Larissa Faith Gray graduated from medical school in 2022
NPI Data:
- NPI Number: 1083344758
- Provider Enumeration Date: 06/14/2022
- Last Update Date: 02/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991175168
- Enrollment ID: I20230720001704
Medical Identifiers
Medical identifiers for Larissa Faith Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083344758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA1038 (Wyoming) | Secondary |
| 363A00000X | Physician Assistant | PA1038 (Wyoming) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Wyoming | 4183607054 | 36 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Faith Gray is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larissa Faith Gray, PA-C
4227 Mink,
Casper, WY 82604-4509
Ph: (307) 234-6161 | Larissa Faith Gray, PA-C
1522 E A St,
Casper, WY 82601-2254
Ph: (307) 234-6161 |
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