Missy Gray Dishman, NP in Orchard Park, NY - Medicare Nurse Practitioner

Missy Gray Dishman, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Orchard Park, New York. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sisters Of Charity Hospital Of Buffalo New York and her current practice location is 3041 Orchard Park Rd Ste C, Orchard Park, New York. You can reach out to her office (for appointments etc.) via phone at (716) 674-3104.

Missy Gray Dishman is licensed to practice in New York (license number F309096) 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 1598223984.

Contact Information

	Missy Gray Dishman, NP
	3041 Orchard Park Rd Ste C, Orchard Park, NY 14127-1238
	(716) 674-3104
	(716) 674-0666

Map and Direction

Provider's Profile

Full Name	Missy Gray Dishman
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	3041 Orchard Park Rd Ste C, Orchard Park, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Missy Gray Dishman graduated from nursing school in 2018

NPI Data:

NPI Number: 1598223984
Provider Enumeration Date: 03/05/2019
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7719227032
Enrollment ID: I20190325001760

Medical Identifiers

Medical identifiers for Missy Gray Dishman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598223984	NPI	-	NPPES
05536787	Medicaid	NY
309096	Other	NY	NYS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F309096 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Of Buffalo	Buffalo, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sisters Of Charity Hospital Of Buffalo New York	6204749153	139

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Missy Gray Dishman allows following entities to bill medicare on her behalf.

Entity Name	Sisters Of Charity Hospital Of Buffalo New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557

Entity Name	Mercy Hospital Of Buffalo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164464921 PECOS PAC ID: 8729991666 Enrollment ID: O20040702001253

Entity Name	Gastroenterology Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740259647 PECOS PAC ID: 8820048085 Enrollment ID: O20050125000952

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. Missy Gray Dishman 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
Missy Gray Dishman, NP 3041 Orchard Park Rd Ste C, Att: Credentialing, Orchard Park, NY 14127-1238 Ph: (716) 674-3104	Missy Gray Dishman, NP 3041 Orchard Park Rd Ste C, Orchard Park, NY 14127-1238 Ph: (716) 674-3104

Reviews and Comments

Nurse Practitioner Nurses in Orchard Park, NY

Karen A. Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3320 N. Benzing Rd., Orchard Park, NY 14127 Phone: 716-972-0300 Fax: 716-972-0309
Amy Kotarski, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3055 Southwestern Blvd Ste 110, Orchard Park, NY 14127 Phone: 716-903-6036 Fax: 716-463-2225
Jilliann Marie Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-656-4478 Fax: 716-250-5956
Ms. Lori Ann Dimillo, P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3560 N Buffalo St, Orchard Park, NY 14127 Phone: 716-662-8510 Fax: 716-662-8574
Mrs. Lindsey O'donnell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1154, Orchard Park, NY 14127 Phone: 443-867-7507
Margaret Mayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Carriage Dr Apt 3, Orchard Park, NY 14127 Phone: 716-803-5088
Kathryn Gordon, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3671 Southwestern Blvd, 101, Orchard Park, NY 14127 Phone: 716-662-7008 Fax: 716-662-5226

Missy Gray Dishman, NP - Medicare Nurse Practitioner in Orchard Park, NY