Elise Marie Ingram, PA-C - Medicare Physician Assistant in New York, NY

  1. Home
  2. Physician Assistant
  3. NY
  4. New York
Elise Marie Ingram, PA-C is a medicare enrolled "Physician Assistant - Medical" in New York, New York. Her current practice location is 156 William St Rm 303, New York, New York. You can reach out to her office (for appointments etc.) via phone at (888) 803-3370.

Elise Marie Ingram is licensed to practice in * (Not Available) (license number ) 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 1336650712.

Contact Information

Elise Marie Ingram, PA-C
156 William St Rm 303,
New York, NY 10038-5307
(888) 803-3370
Not Available

Map and Direction




Provider's Profile

Full NameElise Marie Ingram
GenderFemale
SpecialityPhysician Assistant - Medical
Location156 William St Rm 303, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336650712
  • Provider Enumeration Date: 10/12/2017
  • Last Update Date: 11/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577827708
  • Enrollment ID: I20180516000012

Medical Identifiers

Medical identifiers for Elise Marie Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336650712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 021853 (New York)Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))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. Elise Marie Ingram allows following entities to bill medicare on her behalf.
Entity NameCarthage Area Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053497388
PECOS PAC ID: 9931010485
Enrollment ID: O20040209000856
Entity NameCircle Medical Care of New York PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780425447
PECOS PAC ID: 0749710465
Enrollment ID: O20250211002364

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. Elise Marie 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 AddressPractice Location Address
Elise Marie Ingram, PA-C
1001 West St,
Carthage, NY 13619-9776

Ph: (315) 493-1000		Elise Marie Ingram, PA-C
156 William St Rm 303,
New York, NY 10038-5307

Ph: (888) 803-3370

Reviews and Comments


Physician Assistant Nurses in New York, NY

Mr. Martin Haynes Nicol Sr., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2367-69 2nd Ave, New York, NY 10035
Phone: 212-876-2300    Fax: 212-369-8209
Mrs. Rachel T. Freeman, RPA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 160 E 53rd St, 3rd Floor, New York, NY 10022
Phone: 212-610-0067    
Geraldine Deguzman-javier, RPAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16th St. And 1st Ave., New York, NY 10003
Phone: 212-420-2121    
Allison C. Santhouse, RPA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 115 E 57th St, Suite 710, New York, NY 10022
Phone: 212-750-8900    Fax: 908-281-7796
Sarah E. Mccord, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 535 E 70th St, New York, NY 10021
Phone: 212-606-1585    Fax: 917-260-3185
Miss Sharona Deborah Kashimallak, RPA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 462 1st Ave, New York, NY 10016
Phone: 516-578-9951    
Rena Dymersky, RPA-C, MS
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Gustave L Levy Pl, New York, NY 10029
Phone: 212-241-6500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.