Mr Victor Shawn Ingram, LSW - Medicare Clinical Social Worker in North Las Vegas, NV

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Mr Victor Shawn Ingram, LSW is a medicare enrolled "Social Worker - Clinical" provider in North Las Vegas, Nevada. His current practice location is 4109 California Condor Ave, North Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 277-6382.

Mr Victor Shawn Ingram is licensed to practice in Nevada (license number 7464-S) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043745557.

Contact Information

Mr Victor Shawn Ingram, LSW
4109 California Condor Ave,
North Las Vegas, NV 89084-4804
(702) 277-6382
(702) 453-3151

Map and Direction




Healthcare Provider's Profile

Full NameMr Victor Shawn Ingram
GenderMale
SpecialitySocial Worker - Clinical
Location4109 California Condor Ave, North Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043745557
  • Provider Enumeration Date: 04/23/2017
  • Last Update Date: 09/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557795697
  • Enrollment ID: I20191226002130

Medical Identifiers

Medical identifiers for Mr Victor Shawn Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043745557NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7464-S (Nevada)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. Mr Victor Shawn Ingram allows following entities to bill medicare on his behalf.
Entity NameLisa A. Durette Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669679205
PECOS PAC ID: 6103927280
Enrollment ID: O20070719000161
Entity NameFirst Person Care Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659612547
PECOS PAC ID: 2961649207
Enrollment ID: O20130506000286
Entity NameFirebird Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912281486
PECOS PAC ID: 5092023069
Enrollment ID: O20150925000084
Entity NameCharleston Residential Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790253060
PECOS PAC ID: 2860821469
Enrollment ID: O20200402001868
Entity NameConnexions Mental Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457956187
PECOS PAC ID: 8224427091
Enrollment ID: O20211116003247
Entity NameBeautiful Mind Of Las Vegas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356940639
PECOS PAC ID: 9032550199
Enrollment ID: O20240507004408

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 Victor Shawn 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 AddressPractice Location Address
Mr Victor Shawn Ingram, LSW
4109 California Condor Ave,
North Las Vegas, NV 89084-4804

Ph: (702) 277-6382		Mr Victor Shawn Ingram, LSW
4109 California Condor Ave,
North Las Vegas, NV 89084-4804

Ph: (702) 277-6382

Reviews and Comments


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Phone: 702-350-0760    
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Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086
Phone: 702-791-9000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.