Richard G Ingram, Md, Inc | |
121 E High St Montpelier IN 47359-1105 | |
(765) 728-2421 | |
(765) 728-8564 |
Full Name | Richard G Ingram, Md, Inc |
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Speciality | Family Medicine |
Location | 121 E High St, Montpelier, Indiana |
Authorized Official Name and Position | Melissa D Clouse (INSURANCE) |
Authorized Official Contact | 7657282421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richard G Ingram, Md, Inc 121 E High St Montpelier IN 47359-1105 Ph: (765) 728-2421 | Richard G Ingram, Md, Inc 121 E High St Montpelier IN 47359-1105 Ph: (765) 728-2421 |
NPI Number | 1598716433 |
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Provider Enumeration Date | 05/15/2006 |
Last Update Date | 12/17/2009 |
Medicare PECOS PAC ID | 4880662279 |
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Medicare Enrollment ID | O20130429000697 |
Identifier | Type | State | Issuer |
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1598716433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Milus Ralph Skidmore |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538110119 PECOS PAC ID: 0749284123 Enrollment ID: I20060828000441 |
Provider Name | Lori J Skidmore |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538129184 PECOS PAC ID: 6305030792 Enrollment ID: I20101029000761 |
Provider Name | Alicia L Hollars |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851885701 PECOS PAC ID: 5597013557 Enrollment ID: I20180807003650 |