Stacie Ingram, CDCA is a
Case Manager/care Coordinator based in Portsmouth, Ohio. Stacie Ingram is licensed to practice in * (Not Available) (license number ) and her current practice location is
902 Gallia St, Portsmouth, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 357-8615.
NPI number for Stacie Ingram is 1275034308 and her current mailing address is Po Box 3095, Dublin, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275034308.
Healthcare Provider's Profile
| Full Name | Stacie Ingram |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 902 Gallia St, Portsmouth, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275034308
- Provider Enumeration Date: 02/23/2018
- Last Update Date: 01/09/2023
Medical Identifiers
Medical identifiers for Stacie Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275034308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.165511 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Stacie Ingram is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stacie Ingram, CDCA
Po Box 3095,
Dublin, OH 43016-0046
Ph: () - | Stacie Ingram, CDCA
902 Gallia St,
Portsmouth, OH 45662-4139
Ph: (740) 357-8615 |
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