Malene Kay Ingram, MD is a medicare enrolled "Surgery" physician in Niskayuna, New York. She went to Michigan State University College Of Human Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Tidalhealth Physician Network, Inc. and her current practice location is
2125 River Rd, Suite 302, Niskayuna, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 243-1313.
Malene Kay Ingram is licensed to practice in New York (license number 241814) 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 1013018829.
Physician's Profile
| Full Name | Malene Kay Ingram |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 25 Years |
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| Location | 2125 River Rd, Niskayuna, New York |
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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. |
Medical Education and Training:
- Malene Kay Ingram attended and graduated from Michigan State University College Of Human Medicine in 2000
NPI Data:
- NPI Number: 1013018829
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 06/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 8224132568
- Enrollment ID: I20230123000499
Medical Identifiers
Medical identifiers for Malene Kay Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013018829 | NPI | - | NPPES |
| 2697149 | Other | NY | UHC |
| 5713U1 | Other | NY | BLUE CROSS |
| 000412313001 | Other | NY | BSNENY |
| 10115793 | Other | | CDPHP |
| 7708835 | Other | NY | AETNA |
| 061214000250 | Other | NY | FIDELIS CARE |
| 396885 | Other | NY | MVP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 241814 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Tidalhealth Physician Network, Inc. | 7315901253 | 85 |
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. Malene Kay Ingram allows following entities to bill medicare on her behalf.
| Entity Name | Tidalhealth Physician Network, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467534636 PECOS PAC ID: 7315901253 Enrollment ID: O20041119000090 |
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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. Malene Kay 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 |
Malene Kay Ingram, MD 600 Mcclellan St, Schenectady, NY 12304-1009 Ph: () - | Malene Kay Ingram, MD 2125 River Rd, Suite 302, Niskayuna, NY 12309-1135 Ph: (518) 243-1313 |
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