Stephanie Ann Ingram, FNP - Medicare Nurse Practitioner in New York, NY

Stephanie Ann Ingram, FNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. Her current practice location is 350 East 17th Street, 10 Baird Hall, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 420-4155.

Stephanie Ann Ingram is licensed to practice in New Jersey (license number 26NJ00943300) 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 1871065458.

Contact Information

Stephanie Ann Ingram, FNP
350 East 17th Street, 10 Baird Hall,
New York, NY 10003
(212) 420-4155
(212) 420-4048



Provider's Profile

Full NameStephanie Ann Ingram
GenderFemale
SpecialityNurse Practitioner - Family
Location350 East 17th Street, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871065458
  • Provider Enumeration Date: 12/20/2018
  • Last Update Date: 02/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577895648
  • Enrollment ID: I20191023002155

Medical Identifiers

Medical identifiers for Stephanie Ann Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871065458NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SF0001XClinical Nurse Specialist - Family Health 343726 (New York)Secondary
363LF0000XNurse Practitioner - Family 26NJ00943300 (New Jersey)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. Stephanie Ann Ingram allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770823551
PECOS PAC ID: 2264691070
Enrollment ID: O20131220001018

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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. Stephanie Ann 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
Stephanie Ann Ingram, FNP
350 East 17th Street, 10 Baird Hall,
New York, NY 10003

Ph: (212) 420-4155
Stephanie Ann Ingram, FNP
350 East 17th Street, 10 Baird Hall,
New York, NY 10003

Ph: (212) 420-4155

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