Amanda Davis Ingram, MD | |
103 W Stone Dr, Kingsport, TN 37660 | |
(423) 968-1144 | |
Not Available |
Full Name | Amanda Davis Ingram |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 17 Years |
Location | 103 W Stone Dr, Kingsport, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497901854 | NPI | - | NPPES |
Q001537 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 49584 (Tennessee) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 35098925 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Indian Path Community Hospital | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Ridge Radiology Pc | 7416860473 | 44 |
Entity Name | Blue Ridge Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881687689 PECOS PAC ID: 7416860473 Enrollment ID: O20031106000638 |
Mailing Address | Practice Location Address |
---|---|
Amanda Davis Ingram, MD 3053 W State St, Bristol, TN 37620-1720 Ph: () - | Amanda Davis Ingram, MD 103 W Stone Dr, Kingsport, TN 37660 Ph: (423) 968-1144 |
Dr. Arthur Austin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
John D. Creasy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 | |
Thomas F. Pugh Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 | |
Brooks M Talton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Hvmc/radiation Oncology Dept, Kingsport, TN 37660 Phone: 423-224-5500 Fax: 423-224-5439 | |
John M. Mcmurray, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 | |
Dr. Brad W Miller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
Gert J. Van Der Westhuizen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-968-1144 Fax: 423-968-3453 |