| Mr Wade Joseph Gray, MD | |
|
205 South St, Fort Bragg, CA 95437-5540 | |
| (707) 964-1251 | |
| (707) 961-2722 |
| Full Name | Mr Wade Joseph Gray |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 205 South St, Fort Bragg, 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 |
|---|---|---|---|
| 1508861782 | NPI | - | NPPES |
| FHC03967F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 072325 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mendocino Coast Clinics, Inc | 5991619157 | 16 |
| Entity Name | Mendocino Coast Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609595404 PECOS PAC ID: 5991619157 Enrollment ID: O20050512001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wade Joseph Gray, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 | Mr Wade Joseph Gray, MD 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 964-1251 |
James M. Sandys, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
John Gallo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 721 River Dr, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Diane I. Harris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765 | |
Mr. Sanford Jay Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815b Sequoia Circle, Fort Bragg, CA 95437 Phone: 707-964-9168 Fax: 707-964-7243 | |
John Ernest Cottle Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 River Dr, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Dr. Larry Ira Heiss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 |