| Dr Johnny Kevin Ingram, MD | |
|
1154 Logan Sewell Dr, Vidalia, LA 71373-3342 | |
| (318) 336-8166 | |
| (318) 336-8169 |
| Full Name | Dr Johnny Kevin Ingram |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 1154 Logan Sewell Dr, Vidalia, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437100419 | NPI | - | NPPES |
| 1066435 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD200671 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Louisiana Homecare Of Miss-lou | Ferriday, LA | Home health agency |
| Intensive Home Health Care, Inc | Vidalia, LA | Home health agency |
| Elara Caring | Winnsboro, LA | Home health agency |
| Riverland Medical Center | Ferriday, LA | Hospital |
| Merit Health Natchez | Natchez, MS | Hospital |
| Camelot Leisure Living | Ferriday, LA | Nursing home |
| Columns Community Care Center ( The ) | Jonesville, LA | Nursing home |
| Entity Name | Concordia Parish Hospital Service District Number One |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952565335 PECOS PAC ID: 4587559935 Enrollment ID: O20041012000111 |
| Entity Name | J Kevin Ingram Medical, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871761619 PECOS PAC ID: 7618051525 Enrollment ID: O20080229000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnny Kevin Ingram, MD 1154 Logan Sewell Dr, Vidalia, LA 71373-3342 Ph: (318) 336-8166 | Dr Johnny Kevin Ingram, MD 1154 Logan Sewell Dr, Vidalia, LA 71373-3342 Ph: (318) 336-8166 |
Dr. Dennis A Laravia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Carter Street, Vidalia, LA 71373 Phone: 318-336-4780 Fax: 318-336-4783 |