Mr Vance Baxter Ingle, is a medicare enrolled "Physical Therapist" provider in Mineral Bluff, Georgia. His current practice location is
442 Valley Lake Trl, Mineral Bluff, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 455-8619.
Mr Vance Baxter Ingle is licensed to practice in North Carolina (license number 4658) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568157667.
Healthcare Provider's Profile
Full Name | Mr Vance Baxter Ingle |
---|
Gender | Male |
---|
Speciality | Physical Therapist |
---|
Location | 442 Valley Lake Trl, Mineral Bluff, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568157667
- Provider Enumeration Date: 04/06/2023
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719326206
- Enrollment ID: I20240417000398
Medical Identifiers
Medical identifiers for Mr Vance Baxter Ingle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568157667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 4658 (North Carolina) | 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. Mr Vance Baxter Ingle allows following entities to bill medicare on his behalf.
Provider Name | Viking Physical Therapy Llc |
---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
---|
Provider Identifiers | NPI Number: 1801667035 PECOS PAC ID: 6901245497 Enrollment ID: O20240417000285 |
---|
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. Mr Vance Baxter Ingle 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 |
Mr Vance Baxter Ingle, 442 Valley Lake Trl, Mineral Bluff, GA 30559-2643 Ph: (706) 455-8619 | Mr Vance Baxter Ingle, 442 Valley Lake Trl, Mineral Bluff, GA 30559-2643 Ph: (706) 455-8619 |
Reviews and Comments