| Mrs G Michelle Gray, NP, RN | |
|
243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | |
| (318) 456-6555 | |
| Not Available |
| Full Name | Mrs G Michelle Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 243 Curtiss Rd Ste 100, Barksdale Afb, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184884546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP05335 (Louisiana) | Primary |
| Entity Name | Phillips Family Medicine Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306396007 PECOS PAC ID: 5799065678 Enrollment ID: O20161212000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs G Michelle Gray, NP, RN 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 Ph: (318) 456-6555 | Mrs G Michelle Gray, NP, RN 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 Ph: (318) 456-6555 |
Julie Marie Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 Phone: 318-456-6555 | |
Virginia A Garner, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 243 Curtiss Road, Suite 100, Attn: Credentials, 2 Mdg, Barksdale Afb, LA 71110 Phone: 318-456-6124 | |
Mary J. St. Pierre, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd, 2 Mdg/sghc; Aerospace Medicine; Suite 100, Barksdale Afb, LA 71110 Phone: 318-456-6131 Fax: 318-456-6246 | |
Bo K. Romero, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Billy Mitchell Dr, Barksdale Afb, LA 71110 Phone: 202-999-8013 | |
Brandi Casey, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110 Phone: 318-529-4507 | |
Jennifer Elizabeth Mcandrews, WHNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2nd Medical Group, 243 Curtiss Rd, Barksdale Afb, LA 71110 Phone: 318-456-0645 |