Dr Mark J Ingram, PSY D is a medicare enrolled "Psychologist" provider in Torrence, California. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
22330 Hawthorne Blvd, Ste 207, Torrence, California. You can reach out to his office (for appointments etc.) via phone at
(424) 271-2933.
Dr Mark J Ingram is licensed to practice in California (license number PSY24268) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477846160.
Healthcare Provider's Profile
| Full Name | Dr Mark J Ingram |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 16 Years |
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| Location | 22330 Hawthorne Blvd, Torrence, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark J Ingram graduated from medical school in 2008
NPI Data:
- NPI Number: 1477846160
- Provider Enumeration Date: 05/27/2011
- Last Update Date: 02/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618148958
- Enrollment ID: I20200505001549
Medical Identifiers
Medical identifiers for Dr Mark J Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477846160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PSY24268 (California) | 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. Dr Mark J Ingram allows following entities to bill medicare on his behalf.
| Entity Name | Archeus Psychological Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598108912
PECOS PAC ID: 2961833173
Enrollment ID: O20200502000000 |
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| Entity Name | Headway California Behavioral Health Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174292866
PECOS PAC ID: 2769839596
Enrollment ID: O20231115002684 |
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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. Dr Mark J 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 |
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Dr Mark J Ingram, PSY D
28625 S Western Ave # 2024,
Rancho Palos Verdes, CA 90275-0810
Ph: (424) 271-2933 | Dr Mark J Ingram, PSY D
22330 Hawthorne Blvd, Ste 207,
Torrence, CA 90505
Ph: (424) 271-2933 |
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