Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW is a medicare enrolled "Social Worker - Clinical" provider in Orlando, Florida. Her current practice location is
10850 Emerald Chase Dr, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 446-1623.
Mrs Lyudmila Vitalia Ambrose is licensed to practice in Florida (license number SW23897) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245999028.
Healthcare Provider's Profile
Full Name | Mrs Lyudmila Vitalia Ambrose |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10850 Emerald Chase Dr, Orlando, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245999028
- Provider Enumeration Date: 12/09/2021
- Last Update Date: 12/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668837287
- Enrollment ID: I20230503001198
Medical Identifiers
Medical identifiers for Mrs Lyudmila Vitalia Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245999028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW23897 (Florida) | 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. Mrs Lyudmila Vitalia Ambrose allows following entities to bill medicare on her behalf.
Entity Name | Wise Future Group Support Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770181638 PECOS PAC ID: 5597120626 Enrollment ID: O20230425001633 |
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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 Lyudmila Vitalia 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 Lyudmila Vitalia Ambrose, TAXONOMY MSW 10850 Emerald Chase Dr, Orlando, FL 32836-5882 Ph: (321) 446-1623 | Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW 10850 Emerald Chase Dr, Orlando, FL 32836-5882 Ph: (321) 446-1623 |
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