Jay Ingram, MD in Berlin, VT - Medicare Family Medicine

Jay Ingram, MD is a medicare enrolled "Family Medicine" physician in Berlin, Vermont. His current practice location is 130 Fisher Rd Unit 1, Berlin, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 371-4100.

Jay Ingram is licensed to practice in Vermont (license number 042.0016745) 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 1679968788.

Contact Information

	Jay Ingram, MD
	130 Fisher Rd Unit 1, Berlin, VT 05602-8132
	(802) 371-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Jay Ingram
Gender	Male
Speciality	Family Medicine
Location	130 Fisher Rd Unit 1, Berlin, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679968788
Provider Enumeration Date: 04/06/2015
Last Update Date: 04/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2860700267
Enrollment ID: I20180821000856

Medical Identifiers

Medical identifiers for Jay Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679968788	NPI	-	NPPES
0146486	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35.133104 (Ohio)	Secondary
207Q00000X	Family Medicine	042.0016745 (Vermont)	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. Jay Ingram allows following entities to bill medicare on his behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	Dedicated Columbus Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538798483 PECOS PAC ID: 9032445929 Enrollment ID: O20190730004345

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. Jay 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
Jay Ingram, MD 130 Fisher Rd Unit 1, Berlin, VT 05602-8132 Ph: (802) 371-4100	Jay Ingram, MD 130 Fisher Rd Unit 1, Berlin, VT 05602-8132 Ph: (802) 371-4100

Reviews and Comments

Family Medicine Doctors in Berlin, VT

Dr. Jennifer Brennan Bamford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 Phone: 802-847-7000 Fax: 802-847-7103
Dr. Benjamin Arthur Flinn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 130 Fisher Rd Unit 1, Berlin, VT 05602 Phone: 802-225-7000
Thomas James Curchin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 246 Granger Rd, Suite 2, Berlin, VT 05602 Phone: 802-225-5810 Fax: 802-371-4821
Dr. Stuart E Williams, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 130 Fisher Rd, Berlin, VT 05602 Phone: 802-225-7000
Dr. Jose Lopez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd Ste 3-1, Berlin, VT 05602 Phone: 802-225-9000
Dr. Lise S Kowalski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 Fisher Rd, Suite 3-1, Berlin, VT 05602 Phone: 802-225-7000
Arturo Guajardo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Fisher Rd Unit 1, Berlin, VT 05602 Phone: 802-225-7103

Jay Ingram, MD - Medicare Family Medicine in Berlin, VT