John Ambrose, - Medicare Counselor in Coon Rapids, MN

John Ambrose, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Coon Rapids, Minnesota. His current practice location is 11660 Round Lake Blvd Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 562-6790.

John Ambrose is licensed to practice in Minnesota (license number 304566) 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 1881364008.

Contact Information

John Ambrose,
11660 Round Lake Blvd Nw,
Coon Rapids, MN 55433-2638
(612) 562-6790
(763) 767-0912

Map and Direction


Healthcare Provider's Profile

Full NameJohn Ambrose
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location11660 Round Lake Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881364008
  • Provider Enumeration Date: 09/18/2021
  • Last Update Date: 09/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315399854
  • Enrollment ID: I20240119001992

Medical Identifiers

Medical identifiers for John Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881364008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 304566 (Minnesota)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. John Ambrose allows following entities to bill medicare on his behalf.
Entity NameNystrom & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592

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. John 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 AddressPractice Location Address
John Ambrose,
11660 Round Lake Blvd Nw,
Coon Rapids, MN 55433-2638

Ph: (612) 562-6790
John Ambrose,
11660 Round Lake Blvd Nw,
Coon Rapids, MN 55433-2638

Ph: (612) 562-6790

Reviews and Comments


Counselor in Coon Rapids, MN

Abigail Fletcher,
Counselor
Medicare: Medicare Enrolled
Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433
Phone: 763-767-3350    
Mrs. Nikisha Lynnette Simmons-maclin, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 10026 University Ave Nw Ste 103, Coon Rapids, MN 55448
Phone: 612-636-9677    
Adam Palowski, LPCC
Counselor
Medicare: Medicare Enrolled
Practice Location: 10077 Dogwood St Nw, Coon Rapids, MN 55448
Phone: 612-676-1604    
Charles Lochner, MA
Counselor
Medicare: Medicare Enrolled
Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433
Phone: 763-767-3350    Fax: 763-767-0912
Ms. Kristal Ficzeri, MA
Counselor
Medicare: Medicare Enrolled
Practice Location: 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433
Phone: 763-767-3350    
Calsi Gilbertson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433
Phone: 763-767-3350    
Hong Fa Thao, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 612-767-7222    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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