| Xiaofang Ingram, | |
|
16 Walnut Ave Sw, Roanoke, VA 24016-4719 | |
| (540) 345-6468 | |
| (540) 345-3204 |
| Full Name | Xiaofang Ingram |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 16 Walnut Ave Sw, Roanoke, Virginia |
| 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 |
|---|---|---|---|
| 1912604737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024185979 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walnut Avenue Associates Pc | 4284736612 | 5 |
| Entity Name | Walnut Avenue Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861583791 PECOS PAC ID: 4284736612 Enrollment ID: O20070302000352 |
| Entity Name | Psychogeriatric Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20150717001653 |
| Entity Name | Premier Geriatric Solutions PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568093672 PECOS PAC ID: 3072940279 Enrollment ID: O20200228001800 |
| Entity Name | Premier Psychiatric Solutions PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053000430 PECOS PAC ID: 7012373020 Enrollment ID: O20230517002586 |
| Mailing Address | Practice Location Address |
|---|---|
| Xiaofang Ingram, 1503 Hoyt St, Blacksburg, VA 24060-2517 Ph: (540) 982-2463 | Xiaofang Ingram, 16 Walnut Ave Sw, Roanoke, VA 24016-4719 Ph: (540) 345-6468 |
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 |
Dr. Gwendolyn Williams Spangler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Campbell Ave Sw, Roanoke, VA 24016 Phone: 540-400-7431 |
Jessica Hallam, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-982-8201 Fax: 540-224-1059 |
Dr. Mary Heath Conner, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 Electric Rd Ste D, Roanoke, VA 24018 Phone: 540-200-8329 |
Julie Anne Snyder Amoroso, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw, Roanoke, VA 24014 Phone: 540-985-8505 Fax: 540-344-3313 |
Ashlyn Brooke Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 |
Brandlene Leigh Ratcliffe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000 |