Jonathan Ingram, PMHNP | |
1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637 | |
(509) 793-9780 | |
(509) 764-3246 |
Full Name | Jonathan Ingram |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1550 S Pioneer Way Ste 165, Moses Lake, Washington |
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 |
---|---|---|---|
1336557867 | NPI | - | NPPES |
2038198 | Medicaid | WA | |
G8994731 | Other | WA | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60491883 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Samaritan Hospital | Moses lake, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grant County Public Hospital District 1 | 9931095692 | 88 |
Entity Name | Grant County Public Hospital District 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Ingram, PMHNP 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715 | Jonathan Ingram, PMHNP 1550 S Pioneer Way Ste 165, Moses Lake, WA 98837-4637 Ph: (509) 793-9780 |
Shawta Sackett, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 S Coolidge St, Moses Lake, WA 98837 Phone: 509-765-0674 Fax: 509-764-0344 | |
Braeden R Cook, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Leona M Hays, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Coolidge Dr, Moses Lake, WA 98837 Phone: 509-765-0674 | |
Charlene Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 Fax: 731-658-4079 | |
Ms. Ioly Tabita Lewis, PMHNP/ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711 | |
Sheryl A Russell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Kimberlee Elizabeth Poole, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837 Phone: 509-793-9787 Fax: 509-764-3263 |