| Natasha T Ingram, ARNP, FNP-C | |
|
449621 Us Highway 301 Ste 110, Callahan, FL 32011-9348 | |
| (904) 507-2692 | |
| (904) 507-2693 |
| Full Name | Natasha T Ingram |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 449621 Us Highway 301 Ste 110, Callahan, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922572023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11000928 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Entity Name | American Care Of North Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053679787 PECOS PAC ID: 2567681075 Enrollment ID: O20140916001072 |
| Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
| Entity Name | Vmd Primary Providers Central Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134738974 PECOS PAC ID: 2860806197 Enrollment ID: O20210128001072 |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha T Ingram, ARNP, FNP-C 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Natasha T Ingram, ARNP, FNP-C 449621 Us Highway 301 Ste 110, Callahan, FL 32011-9348 Ph: (904) 507-2692 |
Faith Ann Adams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
Mrs. Cassandra Hargis, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450671 Sr 200, Callahan, FL 32011 Phone: 904-631-7396 | |
Ms. Donna Lee Irwin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45377 Mickler St, Callahan, FL 32011 Phone: 904-879-2306 Fax: 904-879-6377 | |
Shonda Souther, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542435 Us Highway 1, Callahan, FL 32011 Phone: 904-507-4623 | |
Melissa Thick Cannon, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-879-4233 | |
Margo Walton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 866-389-2727 | |
Nikata Arvind Patel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 542325 Us Highway 1, Callahan, FL 32011 Phone: 904-200-1996 |