Kristen Ingram, in Hattiesburg, MS - Medicare Nurse Practitioner

Kristen Ingram, is a medicare enrolled "Nurse Practitioner - Gerontology" in Hattiesburg, Mississippi. Her current practice location is 200 Hospital Dr W, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 296-3000.

Kristen Ingram is licensed to practice in Mississippi (license number R887211) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689055089.

Contact Information

	Kristen Ingram,
	200 Hospital Dr W, Hattiesburg, MS 39402-1346
	(601) 296-3000
	(601) 296-3001

Map and Direction

Provider's Profile

Full Name	Kristen Ingram
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	200 Hospital Dr W, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689055089
Provider Enumeration Date: 06/11/2015
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4880901792
Enrollment ID: I20150909002304

Medical Identifiers

Medical identifiers for Kristen Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689055089	NPI	-	NPPES
05789651	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R887211 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Ingram allows following entities to bill medicare on her behalf.

Entity Name	Southern Surgical Associates, P. A.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265551162 PECOS PAC ID: 6507820560 Enrollment ID: O20041118000746

Entity Name	Pioneer Health Care , Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336384742 PECOS PAC ID: 4789740044 Enrollment ID: O20090311000659

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Ingram is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristen Ingram, 200 Hospital Dr W, Hattiesburg, MS 39402-1346 Ph: (601) 296-3000	Kristen Ingram, 200 Hospital Dr W, Hattiesburg, MS 39402-1346 Ph: (601) 296-3000

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700

Kristen Ingram, - Medicare Nurse Practitioner in Hattiesburg, MS