Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW is a medicare enrolled "Social Worker - Clinical" provider in Orlando, Florida. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Patrick Henry Family Services Operations and 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
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 1245999028.
Healthcare Provider's Profile
| Full Name | Mrs Lyudmila Vitalia Ambrose |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 10850 Emerald Chase Dr, Orlando, Florida |
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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 Lyudmila Vitalia Ambrose graduated from medical school in 2021
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: I20250407002287
Medical Identifiers
Medical identifiers for Mrs Lyudmila Vitalia Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245999028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW23897 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Patrick Henry Family Services Operations | 6103231444 | 7 |
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 | Patrick Henry Family Services Operations |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033724216
PECOS PAC ID: 6103231444
Enrollment ID: O20210218000426 |
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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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