Bradley Ingram, PAC | |
22911 Jefferson Blvd, Smithsburg, MD 21783-1617 | |
(301) 824-3343 | |
(301) 824-6323 |
Full Name | Bradley Ingram |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 24 Years |
Location | 22911 Jefferson Blvd, Smithsburg, Maryland |
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 |
---|---|---|---|
1144290321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 0110001879 (Virginia) | Secondary |
363AM0700X | Physician Assistant - Medical | C0003519 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Practices Of Antietam, Llc | 2567353865 | 183 |
Mailing Address | Practice Location Address |
---|---|
Bradley Ingram, PAC 11110 Medical Campus Rd, Suite 229, Hagerstown, MD 21742-6700 Ph: (301) 665-4526 | Bradley Ingram, PAC 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 Ph: (301) 824-3343 |
Taylor B James, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22911 Jefferson Blvd, Smithsburg, MD 21783 Phone: 301-824-3343 | |
Jennifer Lynn Nunnelee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22911 Jefferson Blvd, Smithsburg, MD 21783 Phone: 301-824-3343 Fax: 301-824-6323 | |
Stephanie Maxsell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 22911 Jefferson Blvd, Smithsburg, MD 21783 Phone: 301-824-3343 |