Dr Jordan Ambrose, DC is a medicare enrolled "Chiropractor" provider in Monmouth, Oregon. He went to Palmer College Chiropractic - Davenport and graduated in 2013 and has 12 years of diverse experience with area of expertise as Chiropractic. His current practice location is
953 Caroline Way E, Monmouth, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 470-0072.
Dr Jordan Ambrose is licensed to practice in Oregon (license number 5161) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063805513.
Healthcare Provider's Profile
| Full Name | Dr Jordan Ambrose |
|---|
| Gender | Male |
|---|
| Speciality | Chiropractic |
|---|
| Experience | 12 Years |
|---|
| Location | 953 Caroline Way E, Monmouth, Oregon |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Jordan Ambrose attended and graduated from Palmer College Chiropractic - Davenport in 2013
NPI Data:
- NPI Number: 1063805513
- Provider Enumeration Date: 03/09/2015
- Last Update Date: 03/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 0244557734
- Enrollment ID: I20150320001858
Medical Identifiers
Medical identifiers for Dr Jordan Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063805513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 5161 (Oregon) | 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. Dr Jordan Ambrose allows following entities to bill medicare on his behalf.
| Provider Name | Ambrose Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1790370732
PECOS PAC ID: 3779950563
Enrollment ID: O20221108001721 |
|---|
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. Dr Jordan 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 |
|---|
Dr Jordan Ambrose, DC
953 Caroline Way E,
Monmouth, OR 97361-1202
Ph: (503) 470-0072 | Dr Jordan Ambrose, DC
953 Caroline Way E,
Monmouth, OR 97361-1202
Ph: (503) 470-0072 |
Reviews and Comments