Paulette Keith Ingram, MD in Roanoke Rapids, NC

Paulette Keith Ingram, MD is a medicare enrolled "Pediatrics" physician in Roanoke Rapids, North Carolina. Her current practice location is 529 Becker Dr, Roanoke Rapids, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 537-1400.

Paulette Keith Ingram is licensed to practice in North Carolina (license number 28419) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437119112.

Contact Information

	Paulette Keith Ingram, MD
	529 Becker Dr, Roanoke Rapids, NC 27870-3303
	(252) 537-1400
	(252) 537-4936

Map and Direction

Physician's Profile

Full Name	Paulette Keith Ingram
Gender	Female
Speciality	Pediatrics
Location	529 Becker Dr, Roanoke Rapids, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437119112
Provider Enumeration Date: 03/25/2006
Last Update Date: 09/21/2012

Medicare PECOS Information:

PECOS PAC ID: 3870542467
Enrollment ID: I20050120001039

Medical Identifiers

Medical identifiers for Paulette Keith Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437119112	NPI	-	NPPES
8945264	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	28419 (North Carolina)	Primary

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. Paulette Keith Ingram allows following entities to bill medicare on her behalf.

Entity Name	Halifax Pediatrics Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821214552 PECOS PAC ID: 6608825294 Enrollment ID: O20050120001029

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. Paulette Keith 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
Paulette Keith Ingram, MD 529 Becker Dr, Roanoke Rapids, NC 27870-3303 Ph: (252) 537-1400	Paulette Keith Ingram, MD 529 Becker Dr, Roanoke Rapids, NC 27870-3303 Ph: (252) 537-1400

Reviews and Comments

Pediatrics Doctors in Roanoke Rapids, NC

Mrs. Sheila Bhagwandass, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 52 Anna Louise Lane, Roanoke Rapids, NC 27870 Phone: 252-537-6465 Fax: 252-535-0951
Ms. Kristen Michelle Dorsey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2066 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-536-5000 Fax: 252-536-2258
Sandeep Kumar Tiwari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 529 Becker Dr, Roanoke Rapids, NC 27870 Phone: 252-537-6465 Fax: 252-535-0951

Paulette Keith Ingram, MD - Medicare Pediatrics in Roanoke Rapids, NC