Dr Laurice Dominick Ingram, DMSC, PA-C is a medicare enrolled "Physician Assistant" in Richburg, South Carolina. His current practice location is
4994 Morrison Rd, Richburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 789-6106.
Dr Laurice Dominick Ingram is licensed to practice in South Carolina (license number 3378) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932745999.
Provider's Profile
| Full Name | Dr Laurice Dominick Ingram |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4994 Morrison Rd, Richburg, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Laurice Dominick Ingram attended and graduated from in
NPI Data:
- NPI Number: 1932745999
- Provider Enumeration Date: 11/25/2019
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Laurice Dominick Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932745999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 3378 (South Carolina) | Primary |
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. Dr Laurice Dominick 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 |
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Dr Laurice Dominick Ingram, DMSC, PA-C
4994 Morrison Rd,
Richburg, SC 29729-9072
Ph: (803) 789-6106 | Dr Laurice Dominick Ingram, DMSC, PA-C
4994 Morrison Rd,
Richburg, SC 29729-9072
Ph: (803) 789-6106 |
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