| Maura Gray, | |
|
21 Bristol Dr, Suite 100, South Easton, MA 02375-1100 | |
| (508) 565-7100 | |
| (508) 565-7105 |
| Full Name | Maura Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 21 Bristol Dr, South Easton, Massachusetts |
| 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 |
|---|---|---|---|
| 1134350424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 280324 (Massachusetts) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 280324 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middleton Family Medicine Urgent Care Llc | 0042533218 | 54 |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Entity Name | Middleton Family Medicine Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902215106 PECOS PAC ID: 0042533218 Enrollment ID: O20141218001562 |
| Entity Name | Charter Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750824124 PECOS PAC ID: 1153604079 Enrollment ID: O20170220000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Maura Gray, 362 N Bedford St, East Bridgewater, MA 02333-1148 Ph: (508) 350-2350 | Maura Gray, 21 Bristol Dr, Suite 100, South Easton, MA 02375-1100 Ph: (508) 565-7100 |
Courtney Perette, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 21 Bristol Dr, Suite 100, South Easton, MA 02375 Phone: 508-565-7100 Fax: 508-565-7105 | |
Adom L Fermanian, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Eastman St Ste 3, South Easton, MA 02375 Phone: 508-505-8830 |