Dr Jordan B Ingram, MD is a medicare enrolled "Emergency Medicine" physician in Waynesboro, Mississippi. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wmc Emergency Services Llc, Ozarks Medical Center, Monroe Emergency Physicians Llc and his current practice location is
950 Matthew Dr, Waynesboro, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 735-5151.
Dr Jordan B Ingram is licensed to practice in Mississippi (license number 25095) 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 1679952535.
Physician's Profile
| Full Name | Dr Jordan B Ingram |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 950 Matthew Dr, Waynesboro, Mississippi |
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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. |
Medical Education and Training:
- Dr Jordan B Ingram graduated from medical school in 2015
NPI Data:
- NPI Number: 1679952535
- Provider Enumeration Date: 05/26/2015
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153620885
- Enrollment ID: I20180725000141
Medical Identifiers
Medical identifiers for Dr Jordan B Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679952535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 57323 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 25095 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | 25095 (Mississippi) | Primary |
| 207P00000X | Emergency Medicine | 2023041851 (Missouri) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wmc Emergency Services Llc | 5698102465 | 10 |
| Ozarks Medical Center | 3870491863 | 164 |
| Monroe Emergency Physicians Llc | 8820405079 | 10 |
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 Jordan B Ingram allows following entities to bill medicare on his behalf.
| Entity Name | Wayne General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093930638 PECOS PAC ID: 2668457581 Enrollment ID: O20040623000865 |
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| Entity Name | App Of Mississippi Ed Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
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| Entity Name | Wmc Emergency Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336786235 PECOS PAC ID: 5698102465 Enrollment ID: O20200218000805 |
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| Entity Name | Relias Emergency Medicine Specialists Of Hattiesburg Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
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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 Jordan B 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 |
Dr Jordan B Ingram, MD 950 Matthew Dr, Waynesboro, MS 39367-2590 Ph: (601) 735-5151 | Dr Jordan B Ingram, MD 950 Matthew Dr, Waynesboro, MS 39367-2590 Ph: (601) 735-5151 |
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