| Russell Leon Ingram, MD | |
|
1460 2nd Ave Sw, Jacksonville, AL 36265-3358 | |
| (256) 435-2180 | |
| (256) 435-9525 |
| Full Name | Russell Leon Ingram |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1460 2nd Ave Sw, Jacksonville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639163397 | NPI | - | NPPES |
| 051519662 | Medicaid | AL | |
| 51519662 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7858 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Leon Ingram, MD 1460 2nd Ave Sw, Jacksonville, AL 36265-3358 Ph: (256) 435-2180 | Russell Leon Ingram, MD 1460 2nd Ave Sw, Jacksonville, AL 36265-3358 Ph: (256) 435-2180 |
Dr. Kewal K Verma, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1642 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-365-2233 Fax: 256-365-2187 |
Brian Russell Ingram, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1460a 2nd Ave Sw, Jacksonville, AL 36265 Phone: 256-435-2180 Fax: 256-435-8718 |