Thomas Glenn Ingram, MD | |
1111 Crown Pointe Dr, Elizabethtown, KY 42701-7101 | |
(800) 545-9031 | |
Not Available |
Full Name | Thomas Glenn Ingram |
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Gender | Male |
Speciality | Family Medicine |
Location | 1111 Crown Pointe Dr, Elizabethtown, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437153194 | NPI | - | NPPES |
64287246 | Medicaid | KY | |
P00101625 | Other | KY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28724 (Kentucky) | Primary |
Entity Name | Ingram & Ball, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750022 PECOS PAC ID: 1557274263 Enrollment ID: O20031110000188 |
Entity Name | Stepworks Recovery Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922497130 PECOS PAC ID: 1456611599 Enrollment ID: O20180208003089 |
Mailing Address | Practice Location Address |
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Thomas Glenn Ingram, MD Po Box 6209, Elizabethtown, KY 42702-6209 Ph: (888) 259-0031 | Thomas Glenn Ingram, MD 1111 Crown Pointe Dr, Elizabethtown, KY 42701-7101 Ph: (800) 545-9031 |
Dr. Yasir Saifullah, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 103 Financial Pl Ste 100, Elizabethtown, KY 42701 Phone: 270-769-0110 Fax: 270-765-6953 | |
Dr. Jahin Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2411 Ring Rd Ste 114, Elizabethtown, KY 42701 Phone: 270-706-1925 Fax: 270-706-1926 | |
Mujahid A Nasir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 Ring Rd, Ste 101, Elizabethtown, KY 42701 Phone: 270-900-4555 Fax: 270-900-4636 | |
Dr. Samuel Phillip Pike, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Helmwood Plaza Drive, Elizabethtown, KY 42701 Phone: 270-765-6242 Fax: 270-765-6243 | |
Dr. Paul E Gerard Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Helmwood Plaza Dr, Elizabethtown, KY 42701 Phone: 270-769-5579 Fax: 270-765-7975 | |
Kyle A Romines, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2413 Ring Rd Ste 100, Elizabethtown, KY 42701 Phone: 270-737-0077 Fax: 270-706-5549 | |
David J. Zoeller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2413 Ring Rd Ste 110, Elizabethtown, KY 42701 Phone: 270-765-4535 Fax: 270-763-1901 |