Dr Laurice Dominick Ingram, DMSC, PA-C is a medicare enrolled "Physician Assistant" in Richburg, South Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Rural Health Group Inc and 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 |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 5 Years |
|---|
| Location | 4994 Morrison Rd, Richburg, South Carolina |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Laurice Dominick Ingram graduated from nursing school in 2019
NPI Data:
- NPI Number: 1932745999
- Provider Enumeration Date: 11/25/2019
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921437724
- Enrollment ID: I20201222002390
Medical Identifiers
Medical identifiers for Dr Laurice Dominick Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932745999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 3378 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rural Health Group Inc | 9739090226 | 49 |
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 |
|---|
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 |
Reviews and Comments