Mrs Kourtney Ingram, AGACNP in Warner Robins, GA

Mrs Kourtney Ingram, AGACNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Warner Robins, Georgia. Her current practice location is 306 N Davis Dr, Warner Robins, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 273-0131.

Mrs Kourtney Ingram is licensed to practice in Georgia (license number RN266250) 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 1801561089.

Contact Information

	Mrs Kourtney Ingram, AGACNP
	306 N Davis Dr, Warner Robins, GA 31093-3475
	(478) 273-0131
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kourtney Ingram
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	306 N Davis Dr, Warner Robins, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801561089
Provider Enumeration Date: 08/10/2021
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1052719366
Enrollment ID: I20211016000017

Medical Identifiers

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

Identifier	Type	State	Issuer
1801561089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	RN266250 (Georgia)	Primary
363LA2100X	Nurse Practitioner - Acute Care	RN266250 (Georgia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	RN266250 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN266250 (Georgia)	Secondary

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. Mrs Kourtney Ingram allows following entities to bill medicare on her behalf.

Entity Name	Georgia Heart Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407994437 PECOS PAC ID: 0345204418 Enrollment ID: O20041118000000

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. Mrs Kourtney 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
Mrs Kourtney Ingram, AGACNP 4501 Russell Pkwy Ste 31, Warner Robins, GA 31088-8681 Ph: (478) 273-0131	Mrs Kourtney Ingram, AGACNP 306 N Davis Dr, Warner Robins, GA 31093-3475 Ph: (478) 273-0131

Reviews and Comments

Nurse Practitioner Nurses in Warner Robins, GA

Anita L. Barkin, DR.P.H., M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 Cohen Walker Dr, Warner Robins, GA 31088 Phone: 478-751-6045 Fax: 478-751-6099
Heather Coffeen Chastain, NP - C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 306 Corder Rd, Suite 1, Warner Robins, GA 31088 Phone: 478-922-3074 Fax: 478-922-3076
Ms. Nicole P Bizzell, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Carl Vinson Pkwy, Warner Robins, GA 31088 Phone: 478-322-3800 Fax: 477-322-0031
Monica T. Evans, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 S Houston Rd, Warner Robins, GA 31088 Phone: 478-923-0131 Fax: 478-922-6530
Marlanea Jarrell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Tommy Stalnaker Dr Ste 1, Warner Robins, GA 31088 Phone: 478-333-3612
Mrs. Christy Little Sims, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 Tallulah Trl, Warner Robins, GA 31088 Phone: 478-302-5237 Fax: 478-302-5243
Rachel Awad, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1049 N Houston Rd, Warner Robins, GA 31093 Phone: 478-922-9001

Mrs Kourtney Ingram, AGACNP - Medicare Nurse Practitioner in Warner Robins, GA