Paulette Keith Ingram, MD | |
529 Becker Dr, Roanoke Rapids, NC 27870-3303 | |
(252) 537-1400 | |
(252) 537-4936 |
Full Name | Paulette Keith Ingram |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 529 Becker Dr, Roanoke Rapids, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437119112 | NPI | - | NPPES |
8945264 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 28419 (North Carolina) | Primary |
Entity Name | Halifax Pediatrics Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821214552 PECOS PAC ID: 6608825294 Enrollment ID: O20050120001029 |
Mailing Address | Practice Location Address |
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Paulette Keith Ingram, MD 529 Becker Dr, Roanoke Rapids, NC 27870-3303 Ph: (252) 537-1400 | Paulette Keith Ingram, MD 529 Becker Dr, Roanoke Rapids, NC 27870-3303 Ph: (252) 537-1400 |
Mrs. Sheila Bhagwandass, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 52 Anna Louise Lane, Roanoke Rapids, NC 27870 Phone: 252-537-6465 Fax: 252-535-0951 | |
Ms. Kristen Michelle Dorsey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2066 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-536-5000 Fax: 252-536-2258 | |
Lindsay Grover, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2064 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 858-472-5869 | |
Sandeep Kumar Tiwari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 529 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-6465 Fax: 252-535-0951 |