| Rebecca Lynne Gray, APNP | |
|
5200 Fairview Blvd, Wyoming, MN 55092 | |
| (651) 982-7600 | |
| Not Available |
| Full Name | Rebecca Lynne Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 5200 Fairview Blvd, Wyoming, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962448969 | NPI | - | NPPES |
| 2615 | Other | WI | STATE MEDICAL LICENSE |
| 38168 | Other | MT | STATE MEDICAL LICENSE |
| 106194 | Other | WI | STATE MEDICAL LICENSE |
| 41265200 | Medicaid | WI | |
| R118279-4 | Other | MN | STATE MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Health Services | 1951213057 | 551 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Lynne Gray, APNP 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7600 | Rebecca Lynne Gray, APNP 5200 Fairview Blvd, Wyoming, MN 55092 Ph: (651) 982-7600 |
Molly Levy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600 | |
Antonette Trapp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Jakiann Marie Mork, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7893 | |
Nancy Middlestead, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Megan Ann Merrill, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Suzanne S Rusk, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092 Phone: 651-682-7340 Fax: 651-982-7349 | |
Jessica Lee Tomlin Brunfelt, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600 |