Thomas Charles Ingersoll Jr, is a
Physician Assistant based in Buckley Sfb, Colorado. Thomas Charles Ingersoll Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
275 South Aspen St, Stop 89, Buckley Sfb, Colorado. He can be reached at his office (for appointments etc.) via phone at
(720) 847-7404.
NPI number for Thomas Charles Ingersoll Jr is 1437675949 and his current mailing address is 6900 Alden Dr, Fe Warren Afb, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437675949.
Provider's Profile
Full Name | Thomas Charles Ingersoll Jr |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 275 South Aspen St, Stop 89, Buckley Sfb, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437675949
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 11/14/2023
Medical Identifiers
Medical identifiers for Thomas Charles Ingersoll Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437675949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Thomas Charles Ingersoll Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thomas Charles Ingersoll Jr, 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 Ph: (307) 773-3840 | Thomas Charles Ingersoll Jr, 275 South Aspen St, Stop 89, Buckley Sfb, CO 80011 Ph: (720) 847-7404 |
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