Dr Tarhonda Leah Ingram, DMD is a medicare enrolled "Dentist" provider in Ft. Stewart, Georgia. Her current practice location is
112 Vilseck Road, Bldg. 419-2, Ft. Stewart, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 257-7056.
Dr Tarhonda Leah Ingram is licensed to practice in Georgia (license number DN014799) 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 1275940686.
Healthcare Provider's Profile
Full Name | Dr Tarhonda Leah Ingram |
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Gender | Female |
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Speciality | Dentist |
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Location | 112 Vilseck Road, Bldg. 419-2, Ft. Stewart, Georgia |
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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: 1275940686
- Provider Enumeration Date: 07/17/2014
- Last Update Date: 11/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082950407
- Enrollment ID: I20190107000876
Medical Identifiers
Medical identifiers for Dr Tarhonda Leah Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275940686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN014799 (Georgia) | 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. Dr Tarhonda Leah 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 |
Dr Tarhonda Leah Ingram, DMD 1061 Harmon Ave, Us Army Dental Health Activity, Fort Stewart, GA 31314-5641 Ph: (912) 435-7006 | Dr Tarhonda Leah Ingram, DMD 112 Vilseck Road, Bldg. 419-2, Ft. Stewart, GA 31315 Ph: (912) 257-7056 |
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