Clinton Ingersol, MD in Syracuse, NY

Clinton Ingersol, MD is a medicare enrolled "Surgery" physician in Syracuse, New York. His current practice location is 739 Irving Ave Ste 450, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 470-7364.

Clinton Ingersol is licensed to practice in New York (license number 326196) 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 1427599604.

Contact Information

	Clinton Ingersol, MD
	739 Irving Ave Ste 450, Syracuse, NY 13210-1663
	(315) 470-7364
	Not Available

Map and Direction

Physician's Profile

Full Name	Clinton Ingersol
Gender	Male
Speciality	Surgery
Location	739 Irving Ave Ste 450, Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427599604
Provider Enumeration Date: 03/20/2017
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 8123397759
Enrollment ID: I20240103000094

Medical Identifiers

Medical identifiers for Clinton Ingersol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427599604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	LT20455 (North Dakota)	Secondary
208600000X	Surgery	326196 (New York)	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. Clinton Ingersol allows following entities to bill medicare on his behalf.

Entity Name	St Alexius Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146

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. Clinton Ingersol 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
Clinton Ingersol, MD 1001 W Fayette St Ste 400, Syracuse, NY 13204-2866 Ph: (315) 937-3433	Clinton Ingersol, MD 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 Ph: (315) 470-7364

Reviews and Comments

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Madelyn Ann Kamly, FNP-BC Surgery Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-6083
Dr. Beata Belfield, MB BCH BAO Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-448-5111
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Robert E Carlin, MD Surgery Medicare: Medicare Enrolled Practice Location: 104 Union Ave, #1005, Syracuse, NY 13203 Phone: 315-424-0790 Fax: 315-475-0916
Syed N Zaman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Union Ave., Suite 1005, Syracuse, NY 13203 Phone: 315-424-0790 Fax: 315-475-0916
Hillary Christine Mcmullin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 739 Irving Ave Ste 450, Syracuse, NY 13210 Phone: 375-470-7364
Dr. John Douglas Fey, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Avenue, Dept. Of Surgery (112), Syracuse Va Medical Center, Syracuse, NY 13210 Phone: 315-425-2643

Clinton Ingersol, MD - Medicare Surgery in Syracuse, NY