Brian Russell Ingram, DO is a medicare enrolled "Family Medicine" physician in Jacksonville, Alabama. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeast Medical Group, P.c. and his current practice location is
1460a 2nd Ave Sw, Jacksonville, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 435-2180.
Brian Russell Ingram is licensed to practice in Alabama (license number DO.2156) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609356039.
Physician's Profile
| Full Name | Brian Russell Ingram |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 1460a 2nd Ave Sw, Jacksonville, Alabama |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian Russell Ingram graduated from medical school in 2018
NPI Data:
- NPI Number: 1609356039
- Provider Enumeration Date: 08/15/2018
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193124873
- Enrollment ID: I20210528002406
Medical Identifiers
Medical identifiers for Brian Russell Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609356039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | DO.2156 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Medical Group, P.c. | 3577559673 | 118 |
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. Brian Russell Ingram allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Medical Group, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235296054
PECOS PAC ID: 3577559673
Enrollment ID: O20231019001876 |
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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. Brian Russell 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 |
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Brian Russell Ingram, DO
4371 Narrow Lane Rd Ste 100,
Montgomery, AL 36116-2975
Ph: (334) 613-3680 | Brian Russell Ingram, DO
1460a 2nd Ave Sw,
Jacksonville, AL 36265-3358
Ph: (256) 435-2180 |
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