| Mackenzie Gray, | |
|
2210 Jackson St, Anderson, IN 46016-4363 | |
| (765) 646-8113 | |
| Not Available |
| Full Name | Mackenzie Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2210 Jackson St, Anderson, Indiana |
| 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 |
|---|---|---|---|
| 1205536828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71013641A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Anderson | Anderson, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Anderson Regional Hospital Inc | 5890949622 | 17 |
| Entity Name | St Vincent Anderson Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659624179 PECOS PAC ID: 5890949622 Enrollment ID: O20130315000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Gray, 2210 Jackson St, Anderson, IN 46016-4363 Ph: () - | Mackenzie Gray, 2210 Jackson St, Anderson, IN 46016-4363 Ph: (765) 646-8113 |
Nora D Mitiche, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 S Scatterfield Rd, Anderson, IN 46012 Phone: 765-644-5025 Fax: 765-643-4534 | |
Mrs. Christina Lynn Bennett, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1931 Brown St, Anderson, IN 46016 Phone: 765-646-8247 | |
Heather Lane, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 Ohio Ave, Anderson, IN 46016 Phone: 765-641-7499 | |
Francisca Moura-souchet, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1728 Williams Way E, Anderson, IN 46011 Phone: 765-617-8398 | |
Kaitlin Walden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2009 Brown St, Anderson, IN 46016 Phone: 317-574-1254 Fax: 317-674-0060 | |
Stephanie Sciaudone, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 W 19th St, Anderson, IN 46016 Phone: 765-393-3891 Fax: 765-393-3892 | |
Jessica D Bode, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011 Phone: 765-298-4282 Fax: 765-298-4989 |