Xiaofang Ingram, | |
1970 Roanoke Blvd, Salem, VA 24153-6404 | |
(540) 982-2463 | |
Not Available |
Full Name | Xiaofang Ingram |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1970 Roanoke Blvd, Salem, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912604737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024185979 (Virginia) | Primary |
Entity Name | Premier Geriatric Solutions Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568093672 PECOS PAC ID: 3072940279 Enrollment ID: O20200228001800 |
Entity Name | Pai Participant 1 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
Entity Name | Premier Psychiatric Solutions Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053000430 PECOS PAC ID: 7012373020 Enrollment ID: O20230517002586 |
Mailing Address | Practice Location Address |
---|---|
Xiaofang Ingram, 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463 | Xiaofang Ingram, 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463 |
Tanya Willard, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Elizabeth Black O'connor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Megan Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 | |
Matthew Bailey, ACNP, FNP, ENP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4000 | |
Deborah Edwards Davis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 | |
Mrs. Greta Pablo Estacio, RN,MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1937 | |
Miss Kimberly Charise Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3400 |