Mrs Holly Ambrose, MSN, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Bay Village, Ohio. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Hospitals St. John Medical Center and her current practice location is
605 Bradley Rd, Bay Village, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 871-3474.
Mrs Holly Ambrose is licensed to practice in Ohio (license number NP 01985) 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 1124203716.
Provider's Profile
| Full Name | Mrs Holly Ambrose |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 28 Years |
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| Location | 605 Bradley Rd, Bay Village, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Holly Ambrose attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1996
NPI Data:
- NPI Number: 1124203716
- Provider Enumeration Date: 01/02/2008
- Last Update Date: 04/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 4587748868
- Enrollment ID: I20080226000142
Medical Identifiers
Medical identifiers for Mrs Holly Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124203716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | NP 01985 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Hospitals St. John Medical Center | 0840333613 | 29 |
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 Holly Ambrose allows following entities to bill medicare on her behalf.
| Entity Name | Marymount Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720031131
PECOS PAC ID: 6507763661
Enrollment ID: O20031217000026 |
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| Entity Name | University Hospitals St. John Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427353713
PECOS PAC ID: 0840333613
Enrollment ID: O20110315000008 |
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| Entity Name | Cleveland Clinic Avon Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346607017
PECOS PAC ID: 0547552630
Enrollment ID: O20161024001962 |
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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. Mrs Holly 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 |
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Mrs Holly Ambrose, MSN, CNP
12380 Plaza Dr,
Parma, OH 44130-1043
Ph: (216) 898-8444 | Mrs Holly Ambrose, MSN, CNP
605 Bradley Rd,
Bay Village, OH 44140-1670
Ph: (440) 871-3474 |
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