Richard L Ingram, MD | |
1602 Vernon Rd, Ste 400, Lagrange, GA 30240-4100 | |
(706) 882-9341 | |
(706) 884-0131 |
Full Name | Richard L Ingram |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 45 Years |
Location | 1602 Vernon Rd, Lagrange, Georgia |
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 |
---|---|---|---|
1629072699 | NPI | - | NPPES |
00291024C | Medicaid | GA | |
00291024A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 026563 (Georgia) | Secondary |
207R00000X | Internal Medicine | 026563 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Troup County Dialysis | Lagrange, GA | Dialysis facility |
Lagrange Dialysis Clinic | Lagrange, GA | Dialysis facility |
Georgia Home Health | Columbus, GA | Home health agency |
Kindred At Home | Columbus, GA | Home health agency |
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lagrange Internal Medicine, Pc | 4183663750 | 6 |
Entity Name | Lagrange Internal Medicine, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831267632 PECOS PAC ID: 4183663750 Enrollment ID: O20050503000581 |
Mailing Address | Practice Location Address |
---|---|
Richard L Ingram, MD 1602 Vernon Rd, Ste 400, Lagrange, GA 30240-4100 Ph: (706) 882-9341 | Richard L Ingram, MD 1602 Vernon Rd, Ste 400, Lagrange, GA 30240-4100 Ph: (706) 882-9341 |
Kenneth T Horlander, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Ravina V Kadam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361 | |
Syed Abuzar Waseem Ahmed, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Melhim Bou Alwan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Ariyo Oluwole Olobatoke, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223 | |
Priyesh R Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Brad Alan Bowyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7311 Fax: 706-880-7360 |