Phyllis Annette Ingham, NP-C in Peru, IN - Medicare Nurse Practitioner

Phyllis Annette Ingham, NP-C is a medicare enrolled "Nurse Practitioner" in Peru, Indiana. Her current practice location is 750 N Broadway, Peru, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 569-2120.

Phyllis Annette Ingham is licensed to practice in Indiana (license number 71009335A) 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 1003328667.

Contact Information

	Phyllis Annette Ingham, NP-C
	750 N Broadway, Peru, IN 46970-1027
	(260) 569-2120
	(260) 569-2121

Map and Direction

Provider's Profile

Full Name	Phyllis Annette Ingham
Gender	Female
Speciality	Nurse Practitioner
Location	750 N Broadway, Peru, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003328667
Provider Enumeration Date: 11/03/2017
Last Update Date: 12/02/2025

Medicare PECOS Information:

PECOS PAC ID: 5698039667
Enrollment ID: I20191008003920

Medical Identifiers

Medical identifiers for Phyllis Annette Ingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003328667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71009335A (Indiana)	Primary
363LF0000X	Nurse Practitioner - Family	AP134764 (Texas)	Secondary
363L00000X	Nurse Practitioner	CNP-03521 (New Mexico)	Secondary

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. Phyllis Annette Ingham allows following entities to bill medicare on her behalf.

Entity Name	Woodlawn Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043

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. Phyllis Annette Ingham 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
Phyllis Annette Ingham, NP-C 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Phyllis Annette Ingham, NP-C 750 N Broadway, Peru, IN 46970-1027 Ph: (260) 569-2120

Reviews and Comments

Nurse Practitioner Nurses in Peru, IN

Heather Weber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 W Old Key Dr, Peru, IN 46970 Phone: 765-475-6963 Fax: 765-475-2833
Elaine Olson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 W Old Key Dr Ste 150, Peru, IN 46970 Phone: 765-430-7507 Fax: 765-475-2839
Jay Lee Hoeksema, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 661 E Main St, Peru, IN 46970 Phone: 765-472-2519 Fax: 765-400-4465
Joanna Leigh Moore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 661 E Main St, Peru, IN 46970 Phone: 765-472-2519 Fax: 765-400-4465
Katina A Everding, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2484 S Business 31, Suite C, Peru, IN 46970 Phone: 765-472-2722 Fax: 765-472-2722
Monica Lynn Mcmain, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1694 W Logansport Rd, Peru, IN 46970 Phone: 765-472-2519

Phyllis Annette Ingham, NP-C - Medicare Nurse Practitioner in Peru, IN