Dr Johnny Kevin Ingram, MD | |
1154 Logan Sewell Dr, Vidalia, LA 71373-3342 | |
(318) 336-8166 | |
(318) 336-8169 |
Full Name | Dr Johnny Kevin Ingram |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1154 Logan Sewell Dr, Vidalia, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437100419 | NPI | - | NPPES |
1066435 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD200671 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Louisiana Homecare Of Miss-lou | Ferriday, LA | Home health agency |
Intensive Home Health Care, Inc | Vidalia, LA | Home health agency |
Deaconess Homecare-region 11 | Brookhaven, MS | Home health agency |
Elara Caring | Winnsboro, LA | Home health agency |
Sta Home Health And Hospice | Clinton, MS | Home health agency |
Camellia Hospice Of East Louisiana, Llc | Vidalia, LA | Hospice |
Riverland Medical Center | Ferriday, LA | Hospital |
Merit Health Natchez | Natchez, MS | Hospital |
Camelot Leisure Living | Ferriday, LA | Nursing home |
Entity Name | Concordia Parish Hospital Service District Number One |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952565335 PECOS PAC ID: 4587559935 Enrollment ID: O20041012000111 |
Entity Name | J Kevin Ingram Medical, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871761619 PECOS PAC ID: 7618051525 Enrollment ID: O20080229000380 |
Mailing Address | Practice Location Address |
---|---|
Dr Johnny Kevin Ingram, MD 1154 Logan Sewell Dr, Vidalia, LA 71373-3342 Ph: (318) 336-8166 | Dr Johnny Kevin Ingram, MD 1154 Logan Sewell Dr, Vidalia, LA 71373-3342 Ph: (318) 336-8166 |
Dr. Dennis A Laravia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Carter Street, Vidalia, LA 71373 Phone: 318-336-4780 Fax: 318-336-4783 |