Mr David Benjamin Ingram, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Seattle, Washington. His current practice location is
4800 Sand Point Way Ne, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 987-7269.
Mr David Benjamin Ingram is licensed to practice in Washington (license number LW00005343) 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 1447386750.
Healthcare Provider's Profile
Full Name | Mr David Benjamin Ingram |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 4800 Sand Point Way Ne, Seattle, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1447386750
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 11/05/2009
Medicare PECOS Information:
- PECOS PAC ID: 4082158381
- Enrollment ID: I20240627002020
Medical Identifiers
Medical identifiers for Mr David Benjamin Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447386750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LW00005343 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LW00005343 (Washington) | 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 David Benjamin Ingram allows following entities to bill medicare on his behalf.
Entity Name | Seattle Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
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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. Mr David Benjamin 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 |
Mr David Benjamin Ingram, LICSW 2101 E Yesler Way, Seattle, WA 98122-5959 Ph: (206) 987-7269 | Mr David Benjamin Ingram, LICSW 4800 Sand Point Way Ne, Seattle, WA 98105-3901 Ph: (206) 987-7269 |
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