Mr Terry Lane Gram, PA-C - Physician Assistant in Tacoma, WA

Mr Terry Lane Gram, PA-C is a Physician Assistant - Medical based in Tacoma, Washington. Mr Terry Lane Gram is licensed to practice in Washington (license number 025211 PA10003250) and his current practice location is Madigan Army Medical Center 9040 A Reid St, Tacoma, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 968-1110.

NPI number for Mr Terry Lane Gram is 1225186836 and his current mailing address is Madigan Army Medical Center 9040 A Reid St, Tacoma, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225186836.

Contact Information

Mr Terry Lane Gram, PA-C
Madigan Army Medical Center 9040 A Reid St,
Tacoma, WA 98431-1100
(253) 968-1110
Not Available

Map and Direction




Provider's Profile

Full NameMr Terry Lane Gram
GenderMale
SpecialityPhysician Assistant - Medical
LocationMadigan Army Medical Center 9040 A Reid St, Tacoma, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225186836
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 10/02/2013

Medical Identifiers

Medical identifiers for Mr Terry Lane Gram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225186836NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 025211 PA10003250 (Washington)Primary

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. Mr Terry Lane Gram is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Terry Lane Gram, PA-C
Madigan Army Medical Center 9040 A Reid St,
Tacoma, WA 98431-1100

Ph: (253) 968-1110
Mr Terry Lane Gram, PA-C
Madigan Army Medical Center 9040 A Reid St,
Tacoma, WA 98431-1100

Ph: (253) 968-1110

Reviews and Comments


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