Mrs Molly Smith Ingram, PA is a medicare enrolled "Physician Assistant" in Harlem, Georgia. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Piedmont Professional Services Llc and her current practice location is
1331 Appling Harlem Rd, Harlem, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 556-2012.
Mrs Molly Smith Ingram is licensed to practice in Georgia (license number 12634) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396576732.
Provider's Profile
| Full Name | Mrs Molly Smith Ingram |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 1331 Appling Harlem Rd, Harlem, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Molly Smith Ingram graduated from nursing school in 2024
NPI Data:
- NPI Number: 1396576732
- Provider Enumeration Date: 08/08/2024
- Last Update Date: 12/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931636495
- Enrollment ID: I20241220003772
Medical Identifiers
Medical identifiers for Mrs Molly Smith Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396576732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 12634 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 12634 (Georgia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Piedmont Professional Services Llc | 8921176231 | 171 |
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. Mrs Molly Smith Ingram allows following entities to bill medicare on her behalf.
| Entity Name | Piedmont Professional Services LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104088905 PECOS PAC ID: 8921176231 Enrollment ID: O20081014000187 |
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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. Mrs Molly Smith 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 |
Mrs Molly Smith Ingram, PA 516 Martin Ln, Augusta, GA 30909-3406 Ph: (478) 365-1215 | Mrs Molly Smith Ingram, PA 1331 Appling Harlem Rd, Harlem, GA 30814-4130 Ph: (706) 556-2012 |
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