Jay Ingram, MD - Medicare Family Medicine in Berlin, VT

Jay Ingram, MD is a medicare enrolled "Family Medicine" physician in Berlin, Vermont. His current practice location is 130 Fisher Rd Unit 1, Berlin, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 371-4100.

Jay Ingram is licensed to practice in Vermont (license number 042.0016745) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679968788.

Contact Information

Jay Ingram, MD
130 Fisher Rd Unit 1,
Berlin, VT 05602-8132
(802) 371-4100
Not Available



Physician's Profile

Full NameJay Ingram
GenderMale
SpecialityFamily Medicine
Location130 Fisher Rd Unit 1, Berlin, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679968788
  • Provider Enumeration Date: 04/06/2015
  • Last Update Date: 04/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860700267
  • Enrollment ID: I20180821000856

Medical Identifiers

Medical identifiers for Jay Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679968788NPI-NPPES
0146486MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35.133104 (Ohio)Secondary
207Q00000XFamily Medicine 042.0016745 (Vermont)Primary

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. Jay Ingram allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532

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Entity NameDedicated Columbus Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538798483
PECOS PAC ID: 9032445929
Enrollment ID: O20190730004345

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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. Jay 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 AddressPractice Location Address
Jay Ingram, MD
130 Fisher Rd Unit 1,
Berlin, VT 05602-8132

Ph: (802) 371-4100
Jay Ingram, MD
130 Fisher Rd Unit 1,
Berlin, VT 05602-8132

Ph: (802) 371-4100

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Family Medicine Doctors in Berlin, VT

Dr. Jennifer Brennan Bamford, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602
Phone: 802-847-7000    Fax: 802-847-7103
Dr. Benjamin Arthur Flinn, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Fisher Rd Unit 1, Berlin, VT 05602
Phone: 802-225-7000    
Thomas James Curchin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 246 Granger Rd, Suite 2, Berlin, VT 05602
Phone: 802-225-5810    Fax: 802-371-4821
Dr. Stuart E Williams, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 130 Fisher Rd, Berlin, VT 05602
Phone: 802-225-7000    
Dr. Jose Lopez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Fisher Rd Ste 3-1, Berlin, VT 05602
Phone: 802-225-9000    
Dr. Lise S Kowalski, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 130 Fisher Rd, Suite 3-1, Berlin, VT 05602
Phone: 802-225-7000    
Arturo Guajardo, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Fisher Rd Unit 1, Berlin, VT 05602
Phone: 802-225-7103    

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