Kimberly Fuller Ingram, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Lynchburg, Virginia. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centra Medical Group Llc and her current practice location is
1330 Oak Ln Ste 203, Lynchburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 528-2179.
Kimberly Fuller Ingram is licensed to practice in Virginia (license number 0024175459) 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 1205346558.
Physician's Profile
| Full Name | Kimberly Fuller Ingram |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1330 Oak Ln Ste 203, Lynchburg, Virginia |
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| Accepts Medicare Assignments | Yes. She 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:
- Kimberly Fuller Ingram graduated from medical school in 2017
NPI Data:
- NPI Number: 1205346558
- Provider Enumeration Date: 10/01/2017
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567723802
- Enrollment ID: I20180228002140
Medical Identifiers
Medical identifiers for Kimberly Fuller Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205346558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0024175459 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024175459 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centra Medical Group Llc | 4789606088 | 681 |
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. Kimberly Fuller Ingram allows following entities to bill medicare on her behalf.
| Entity Name | Centra Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20051230000147 |
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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. Kimberly Fuller 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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Kimberly Fuller Ingram, DNP, FNP-BC
121 Ridge Dr,
Amherst, VA 24521-3105
Ph: (434) 841-8457 | Kimberly Fuller Ingram, DNP, FNP-BC
1330 Oak Ln Ste 203,
Lynchburg, VA 24503-2513
Ph: (434) 528-2179 |
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