| Mr Mark W Ingram, PAC | |
|
908 West North 4th St, Morristown, TN 37813 | |
| (423) 586-4995 | |
| Not Available |
| Full Name | Mr Mark W Ingram |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 908 West North 4th St, Morristown, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124079017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA783 (Tennessee) | Primary |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687 |
| Entity Name | Emergency Coverage Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20040220000755 |
| Entity Name | Tri-cities Regional Emergency Physicians, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Tri-cities Observation Services, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark W Ingram, PAC 4519 Majestic Magnolia Lane, Morristown, TN 37814 Ph: (423) 312-8546 | Mr Mark W Ingram, PAC 908 West North 4th St, Morristown, TN 37813 Ph: (423) 586-4995 |
Sarah Katelyn Brooks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 291 S Daisy St, Morristown, TN 37813 Phone: 423-616-8315 Fax: 423-616-8316 |
Mr. Daniel James Martin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 Phone: 423-587-2707 Fax: 423-587-3224 |
Nathan Wicker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 W Morris Blvd Ste 400d, Morristown, TN 37813 Phone: 423-581-5925 |
Claude D Ray, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1410 Doyal Dr, Morristown, TN 37814 Phone: 423-318-9202 Fax: 423-318-9206 |
Karie Hall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 908 W 4th North St, Morristown, TN 37814 Phone: 423-492-9000 |
Dillon Tyler Gibson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Healthstar Physicians, 420 W. Morris Blvd Suite 400d, Morristown, TN 37813 Phone: 423-586-7509 |
Mohammed Baig, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2815 W Andrew Johnson Hwy, Morristown, TN 37814 Phone: 423-587-3480 |