Ambrosia Simmons, MD,PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in Clovis, New Mexico. Her current practice location is
2219 Dillon St, Hematology/oncology - Clovis, Clovis, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 769-7365.
Ambrosia Simmons is licensed to practice in New Mexico (license number MD2023-1331) 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 1932769627.
Physician's Profile
| Full Name | Ambrosia Simmons |
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| Gender | Female |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 2219 Dillon St, Clovis, New Mexico |
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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: 1932769627
- Provider Enumeration Date: 06/16/2019
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719422443
- Enrollment ID: I20240717002229
Medical Identifiers
Medical identifiers for Ambrosia Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932769627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0001X | Radiology - Radiation Oncology | MD2023-1331 (New Mexico) | 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. Ambrosia Simmons allows following entities to bill medicare on her behalf.
| Entity Name | Presbyterian Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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| Entity Name | Southwest Medical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
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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. Ambrosia Simmons 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 |
Ambrosia Simmons, MD,PHD Po Box 26666, Albuquerque, NM 87125-6666 Ph: () - | Ambrosia Simmons, MD,PHD 2219 Dillon St, Hematology/oncology - Clovis, Clovis, NM 88101-9454 Ph: (575) 769-7365 |
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