Amanda Davis Ingram, MD - Medicare Diagnostic Radiology in Kingsport, TN

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Amanda Davis Ingram, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kingsport, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Blue Ridge Radiology Pc and her current practice location is 103 W Stone Dr, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 968-1144.

Amanda Davis Ingram is licensed to practice in Tennessee (license number 49584) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497901854.

Contact Information

Amanda Davis Ingram, MD
103 W Stone Dr,
Kingsport, TN 37660
(423) 968-1144
Not Available

Map and Direction




Physician's Profile

Full NameAmanda Davis Ingram
GenderFemale
SpecialityDiagnostic Radiology
Experience18 Years
Location103 W Stone Dr, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Davis Ingram attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1497901854
  • Provider Enumeration Date: 08/15/2008
  • Last Update Date: 10/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496911679
  • Enrollment ID: I20130621000551

Medical Identifiers

Medical identifiers for Amanda Davis Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497901854NPI-NPPES
Q001537MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 49584 (Tennessee)Primary
2085R0202XRadiology - Diagnostic Radiology 35098925 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Ridge Radiology Pc741686047370

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. Amanda Davis Ingram allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881687689
PECOS PAC ID: 7416860473
Enrollment ID: O20031106000638

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. Amanda Davis 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 AddressPractice Location Address
Amanda Davis Ingram, MD
3053 W State St,
Bristol, TN 37620-1720

Ph: () -		Amanda Davis Ingram, MD
103 W Stone Dr,
Kingsport, TN 37660

Ph: (423) 968-1144

Reviews and Comments


Radiology Doctors in Kingsport, TN

John D. Creasy, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-968-1144    Fax: 423-968-3453
Thomas F. Pugh Jr., M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-968-1144    Fax: 423-968-3453
Brooks M Talton Jr., M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Hvmc/radiation Oncology Dept, Kingsport, TN 37660
Phone: 423-224-5500    Fax: 423-224-5439
John M. Mcmurray, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-968-1144    Fax: 423-968-3453
Dr. Brad W Miller, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7000    
Gert J. Van Der Westhuizen, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-968-1144    Fax: 423-968-3453
Andrew P. Spillett, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-968-1144    Fax: 423-968-3453

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.