Rebekah Leanne Gray (NPI# 1568885499, PAC ID# 5395966956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1568885499 |
PAC ID by PECOS | 5395966956 |
Professional Enrollment ID | I20190128001326 |
Full Name | Rebekah Leanne Gray |
Organization Legal Name | TAHLEQUAH FAMILY MEDICINE CLINIC |
Address |
204 Woodlawn Ave Tahlequah OK 74464-3318 |
Phone Number | 9184568000 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6608191234 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370089 | NORTHEASTERN HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 9184568000 | TAHLEQUAH FAMILY MEDICINE CLINIC |
Organization Legal Name | TAHLEQUAH FAMILY MEDICINE CLINIC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Larry D Sumner | Family Medicine | Tahlequah Family Medicine Clinic | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 |
Street Address |
204 WOODLAWN AVE |
City | TAHLEQUAH |
State | OK |
Zip | 74464-3318 |
Name | Specialty | Organization | Address |
---|---|---|---|
Larry D Sumner | Family Medicine | Tahlequah Family Medicine Clinic | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christi D Anderson | Physician Assistant | Cherokee Nation | 19600 E Ross St, Cn Outpatient Health Center, Tahlequah, OK 74464-0545 |
James Mark Seratt | Family Medicine | 22408 Hwy 51, Tahlequah, OK 74464-2058 | |
Megan Jean Chee | Optometry | Cherokee Nation | 16944 W Cherokee, Gadugi Health Center, Tahlequah, OK 74464-2512 |
Barinder P Bassi | Podiatry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
Charles Wayne Bingham | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
Carolyn E Majcher | Optometry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
Cathy J Fielder | Physician Assistant | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
Gregory S Brooks | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
Sylvia Soto | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
Deborah Mcalister | Orthopedic Surgery | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
Find all physicians in zip 74464 |
City | TAHLEQUAH |
Zip Code | 74464 |
Specialty | NURSE PRACTITIONER |
City + Specialty | TAHLEQUAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Rebekah Leanne Gray.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.