| Dr Lisa Marie Gray, DNP | |
|
1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
| (719) 526-7061 | |
| (719) 526-7132 |
| Full Name | Dr Lisa Marie Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1650 Cochrane Cir, Fort Carson, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326440439 | NPI | - | NPPES |
| 1326440439 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 268905 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | C-APN.0000410-C-NP (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Health Care | 6709797491 | 3036 |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Marie Gray, DNP 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7061 | Dr Lisa Marie Gray, DNP 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7061 |
Elizabeth N Baptista, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913 Phone: 719-526-7000 Fax: 719-524-2258 | |
Mrs. Gwen M Colon, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Attn Credentials Office Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7844 Fax: 719-526-7984 | |
Claudia Martial, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 | |
Mrs. Tisha Kim Ellis, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-0175 Fax: 719-526-2452 | |
Gina Clark, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-524-0016 | |
Anna M Jones, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-524-0691 |