Mrs Mahogany Jervon Ambrose, MD in Tampa, FL - Medicare Diagnostic Radiology

Mrs Mahogany Jervon Ambrose, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tampa, Florida. She went to Meharry Medical College School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice St Thomas Radiology Associates Llc and her current practice location is 10920 Mckinley Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 745-8535.

Mrs Mahogany Jervon Ambrose is licensed to practice in Virgin Island (license number 3377) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316300940.

Contact Information

	Mrs Mahogany Jervon Ambrose, MD
	10920 Mckinley Dr, Tampa, FL 33612-6471
	(813) 745-8535
	(813) 449-8398

Map and Direction

Physician's Profile

Full Name	Mrs Mahogany Jervon Ambrose
Gender	Female
Speciality	Diagnostic Radiology
Experience	8 Years
Location	10920 Mckinley Dr, Tampa, 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.

Medical Education and Training:

Mrs Mahogany Jervon Ambrose attended and graduated from Meharry Medical College School Of Medicine in 2016

NPI Data:

NPI Number: 1316300940
Provider Enumeration Date: 03/31/2016
Last Update Date: 01/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2567755697
Enrollment ID: I20220610000225

Medical Identifiers

Medical identifiers for Mrs Mahogany Jervon Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316300940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	3377 (Virgin Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roy Lester Schneider Hospital,the	St thomas, VI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Thomas Radiology Associates Llc	0042235137	37

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. Mrs Mahogany Jervon Ambrose allows following entities to bill medicare on her behalf.

Entity Name	St Thomas Radiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659385011 PECOS PAC ID: 0042235137 Enrollment ID: O20051007000487

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. Mrs Mahogany Jervon Ambrose 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
Mrs Mahogany Jervon Ambrose, MD 9149 Estate Thomas Ste 103, St Thomas, VI 00802-3132 Ph: (615) 484-6892	Mrs Mahogany Jervon Ambrose, MD 10920 Mckinley Dr, Tampa, FL 33612-6471 Ph: (813) 745-8535

Reviews and Comments

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Mrs Mahogany Jervon Ambrose, MD - Medicare Diagnostic Radiology in Tampa, FL