| Brenda Leigh Ingram, PA-C | |
|
115 Airport Rd, Sulphur Springs, TX 75482-2105 | |
| (903) 885-7671 | |
| Not Available |
| Full Name | Brenda Leigh Ingram |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 115 Airport Rd, Sulphur Springs, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679688675 | NPI | - | NPPES |
| 313744005 | Medicaid | TX | |
| 75-2616977-001 | Other | TX | TRICARE |
| 75-0818167-022 | Other | TX | TRICARE |
| P01762486 | Other | TX | RAIL ROAD MEDICARE |
| 75-2616977-002 | Other | TX | TRICARE |
| 313744006 | Medicaid | TX | |
| 75-2616977-129 | Other | TX | TRICARE |
| 8478MA | Other | TX | BCBS |
| 75-1976930-005 | Other | TX | TRICARE |
| 8479MA | Other | TX | BCBS |
| P01761904 | Other | TX | RAIL ROAD MEDICARE |
| 313744007 | Medicaid | TX | |
| 75-0818167-048 | Other | TX | TRICARE |
| 75-2616977-028 | Other | TX | TRICARE |
| 313744004 | Medicaid | TX | |
| 75-0818167-015 | Other | TX | TRICARE |
| 75-0818167-044 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA03143 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Acs Primary Care Physicians Southwest PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | East Texas Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972292282 PECOS PAC ID: 5890156541 Enrollment ID: O20230728000642 |
| Entity Name | Northeast Texas Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Leigh Ingram, PA-C Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000 | Brenda Leigh Ingram, PA-C 115 Airport Rd, Sulphur Springs, TX 75482-2105 Ph: (903) 885-7671 |
Mr. Donald Roseberry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-951-1001 Fax: 903-951-1004 |
Adrian Denise Childress, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 |
Greg Barrett, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-3181 Fax: 903-885-1329 |
Mrs. Chandra Deel Oud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 |
Lara Jennifer Beverly, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-951-1001 |
Kalee Kirk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-3181 Fax: 903-885-1329 |
Kelly Margaret Webb, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Airport Rd Ste 140, Sulphur Springs, TX 75482 Phone: 903-582-4424 Fax: 903-582-4423 |