Mary Ingram, AUD is a medicare enrolled "Audiologist" provider in Stoneham, Massachusetts. Her current practice location is
41 Montvale Ave Ste 200, Stoneham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 279-0971.
Mary Ingram is licensed to practice in Massachusetts (license number AUD100117) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922842053.
Healthcare Provider's Profile
Full Name | Mary Ingram |
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Gender | Female |
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Speciality | Audiologist |
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Location | 41 Montvale Ave Ste 200, Stoneham, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922842053
- Provider Enumeration Date: 06/24/2024
- Last Update Date: 07/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527506740
- Enrollment ID: I20240819001612
Medical Identifiers
Medical identifiers for Mary Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922842053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AUD100117 (Massachusetts) | Primary |
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. Mary Ingram allows following entities to bill medicare on her behalf.
Provider Name | Massachusetts Eye And Ear Associates, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932574332 PECOS PAC ID: 4486540275 Enrollment ID: O20040227000123 |
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Provider Name | Massachusetts Eye And Ear Infirmary |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1639101751 PECOS PAC ID: 4587631577 Enrollment ID: O20101202000025 |
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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. Mary Ingram 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 |
Mary Ingram, AUD 243 Charles St, Boston, MA 02114-3096 Ph: (617) 573-3266 | Mary Ingram, AUD 41 Montvale Ave Ste 200, Stoneham, MA 02180-2445 Ph: (781) 279-0971 |
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