| Gina Ambrose, DO | |
|
157 Baltimore St, Cumberland, MD 21502-2472 | |
| (301) 722-0484 | |
| (833) 903-0130 |
| Full Name | Gina Ambrose |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 157 Baltimore St, Cumberland, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790044220 | NPI | - | NPPES |
| 0007 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H0078884 (Maryland) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | H0078884 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novus Pain Management - Maryland, Llc | 7416255963 | 8 |
| Novus Pain And Physical Medicine - Florida Llc | 5496198699 | 12 |
| Novus Pain Management - Pennsylvania Llc | 7416206123 | 2 |
| Entity Name | Doctors Emergency Service, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528171840 PECOS PAC ID: 4486644598 Enrollment ID: O20040512001075 |
| Entity Name | Johns Hopkins Emergency Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922098466 PECOS PAC ID: 3577546753 Enrollment ID: O20040609000834 |
| Entity Name | Novus Pain Management - Maryland, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720440449 PECOS PAC ID: 7416255963 Enrollment ID: O20160415001610 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Ambrose, DO 2001 Medical Pkwy, Annapolis, MD 21401-3773 Ph: (443) 481-1366 | Gina Ambrose, DO 157 Baltimore St, Cumberland, MD 21502-2472 Ph: (301) 722-0484 |
Dr. Joseph Andrew Dekker, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 157 Baltimore St, Cumberland, MD 21502 Phone: 301-722-3215 | |
William Russell, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 500 Memorial Ave, Cumberland, MD 21502 Phone: 301-723-4380 | |
Candice A Peters, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 157 Baltimore St, Cumberland, MD 21502 Phone: 301-722-3215 |