Mr Randall John Ambrosius, MSW CADCIII LCSW in Wisconsin Rapids, WI

Mr Randall John Ambrosius, MSW CADCIII LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Wisconsin Rapids, Wisconsin. His current practice location is 2611 12th St S, Mental Health Aoda Clinic, Wisconsin Rapids, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 421-8849.

Mr Randall John Ambrosius is licensed to practice in Wisconsin (license number 1834) 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 1487720769.

Contact Information

	Mr Randall John Ambrosius, MSW CADCIII LCSW
	2611 12th St S, Mental Health Aoda Clinic, Wisconsin Rapids, WI 54494
	(715) 421-8849
	(715) 421-2266

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randall John Ambrosius
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	2611 12th St S, Wisconsin Rapids, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487720769
Provider Enumeration Date: 11/28/2006
Last Update Date: 01/29/2008

Medicare PECOS Information:

PECOS PAC ID: 2668501933
Enrollment ID: I20100525000436

Medical Identifiers

Medical identifiers for Mr Randall John Ambrosius such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487720769	NPI	-	NPPES
39354800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1834 (Wisconsin)	Primary
1041C0700X	Social Worker - Clinical	4186123 (Wisconsin)	Secondary

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. Mr Randall John Ambrosius allows following entities to bill medicare on his behalf.

Entity Name	La Clinica De Los Campesinos, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058

Entity Name	Aspirus Stevens Point Hospital & Clinics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558

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. Mr Randall John Ambrosius 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
Mr Randall John Ambrosius, MSW CADCIII LCSW 2611 12th St S, Wisconsin Rapids, WI 54494 Ph: (715) 421-8849	Mr Randall John Ambrosius, MSW CADCIII LCSW 2611 12th St S, Mental Health Aoda Clinic, Wisconsin Rapids, WI 54494 Ph: (715) 421-8849

Reviews and Comments

Counselor in Wisconsin Rapids, WI

Kathleen Joy Dutter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495 Phone: 715-424-6960
Louanne Pufall, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8844 Fax: 715-421-2266
Thomas Michael Surendonk, MSSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441
Karalee Flinders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 3rd St S, Wisconsin Rapids, WI 54494 Phone: 715-712-1370
Sarah Mary Tompkins, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Huntington Ave, Wisconsin Rapids, WI 54494 Phone: 715-818-6443
Ms. Sandra Holmes, MS, CSAC, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 420 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-847-2772
Ms. Constance K Virnig, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 111 W Jackson St, Wisconsin Rapids, WI 54495 Phone: 715-421-8845 Fax: 715-421-2266

Mr Randall John Ambrosius, MSW CADCIII LCSW - Medicare Counselor in Wisconsin Rapids, WI