Ms Corretha Delsha Ingram, FNP in Jackson, MS

Ms Corretha Delsha Ingram, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. Her current practice location is 188 E Capitol St Ste 700, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (844) 809-8438.

Ms Corretha Delsha Ingram is licensed to practice in Mississippi (license number 904258) 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 1952037731.

Contact Information

	Ms Corretha Delsha Ingram, FNP
	188 E Capitol St Ste 700, Jackson, MS 39201-2144
	(844) 809-8438
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Corretha Delsha Ingram
Gender	Female
Speciality	Nurse Practitioner - Family
Location	188 E Capitol St Ste 700, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952037731
Provider Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 5395100440
Enrollment ID: I20230425002692

Medical Identifiers

Medical identifiers for Ms Corretha Delsha Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952037731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904258 (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. Ms Corretha Delsha Ingram allows following entities to bill medicare on her behalf.

Entity Name	Molina Care Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20171212002486

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. Ms Corretha Delsha 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
Ms Corretha Delsha Ingram, FNP 200 Oceangate Ste 100, Long Beach, CA 90802-4317 Ph: () -	Ms Corretha Delsha Ingram, FNP 188 E Capitol St Ste 700, Jackson, MS 39201-2144 Ph: (844) 809-8438

Reviews and Comments

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Ms Corretha Delsha Ingram, FNP - Medicare Nurse Practitioner in Jackson, MS