Dr Thomas A Ambrose Ii, MD - Medicare Orthopedic Surgery in Effingham, IL

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Dr Thomas A Ambrose Ii, MD is a medicare enrolled "Orthopaedic Surgery" physician in Effingham, Illinois. He went to Ohio State University College Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Sanford Health Network, Hshs Medical Group Inc and his current practice location is 900 W Temple Ave Ste 2500, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 540-2350.

Dr Thomas A Ambrose Ii is licensed to practice in South Dakota (license number 10090) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679524805.

Contact Information

Dr Thomas A Ambrose Ii, MD
900 W Temple Ave Ste 2500,
Effingham, IL 62401-2121
(217) 540-2350
(217) 347-2323

Map and Direction




Physician's Profile

Full NameDr Thomas A Ambrose Ii
GenderMale
SpecialityOrthopedic Surgery
Experience42 Years
Location900 W Temple Ave Ste 2500, Effingham, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Thomas A Ambrose Ii attended and graduated from Ohio State University College Of Medicine in 1983
  NPI Data:
  • NPI Number: 1679524805
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 01/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9537051271
  • Enrollment ID: I20161108001963

Medical Identifiers

Medical identifiers for Dr Thomas A Ambrose Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679524805NPI-NPPES
100357760MedicaidIN
000000247026OtherINANTHEM PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 01037487A (Indiana)Secondary
207X00000XOrthopaedic Surgery 41335 (Iowa)Secondary
207X00000XOrthopaedic Surgery 10090 (South Dakota)Primary
207X00000XOrthopaedic Surgery 036172356 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Anthonys Memorial HospitalEffingham, ILHospital
Hshs Holy Family Hospital IncGreenville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Health Network6800707100307
Hshs Medical Group Inc5092857821181

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. Dr Thomas A Ambrose Ii allows following entities to bill medicare on his behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699009944
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117
Entity NameSanford Health Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013921733
PECOS PAC ID: 6800707100
Enrollment ID: O20031111000266
Entity NamePrairie Lakes Health Care System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720166002
PECOS PAC ID: 8628987823
Enrollment ID: O20040202000187
Entity NameMonument Health Rapid City Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144

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. Dr Thomas A Ambrose Ii 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
Dr Thomas A Ambrose Ii, MD
900 W Temple Ave Ste 2500,
Effingham, IL 62401-2121

Ph: (217) 540-2350		Dr Thomas A Ambrose Ii, MD
900 W Temple Ave Ste 2500,
Effingham, IL 62401-2121

Ph: (217) 540-2350

Reviews and Comments


Orthopaedic Surgery Doctors in Effingham, IL

Lawrence Leventhal, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 801 W Temple Ave, Effingham, IL 62401
Phone: 217-342-5800    Fax: 217-347-3311
Frank S Lee, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1303 W Evergreen Ave Ste 200, Effingham, IL 62401
Phone: 217-342-3400    Fax: 217-342-3477
Joseph M Ajdinovich, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1303 W Evergreen Ave Ste 200, Effingham, IL 62401
Phone: 217-342-3400    Fax: 217-342-3477
Timothy J Gray, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1303 W Evergreen Ave Ste 200, Effingham, IL 62401
Phone: 217-342-3400    Fax: 217-342-3477
Dr. Nash H. Naam, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 901 Medical Park Dr Ste 100, Effingham, IL 62401
Phone: 217-347-3003    Fax: 217-347-3005
Dr. John B Powell, M.D.
Orthopedic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 900 W Temple Ave Ste 2500, Effingham, IL 62401
Phone: 217-540-2350    Fax: 217-347-2323
Dr. Didi Omiyi, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1303 W Evergreen Ave Ste 200, Effingham, IL 62401
Phone: 217-342-3400    Fax: 217-342-3477

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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