Mrs Mahogany Jervon Ambrose, MD in Fort Myers, FL

Mrs Mahogany Jervon Ambrose, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Myers, Florida. She went to Meharry Medical College School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice St Thomas Radiology Associates Llc, Medical Imaging Center Of Ocala Llp, Inverness Medical Imaging Llc, Timberridge Imaging Center and her current practice location is 14551 Hope Center Loop Ste 100, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 936-2316.

Mrs Mahogany Jervon Ambrose is licensed to practice in Florida (license number ME166935) 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 1316300940.

Contact Information

	Mrs Mahogany Jervon Ambrose, MD
	14551 Hope Center Loop Ste 100, Fort Myers, FL 33912-4705
	(239) 936-2316
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Mahogany Jervon Ambrose
Gender	Female
Speciality	Diagnostic Radiology
Experience	10 Years
Location	14551 Hope Center Loop Ste 100, Fort Myers, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mahogany Jervon Ambrose attended and graduated from Meharry Medical College School Of Medicine in 2016

NPI Data:

NPI Number: 1316300940
Provider Enumeration Date: 03/31/2016
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 2567755697
Enrollment ID: I20220610000225

Medical Identifiers

Medical identifiers for Mrs Mahogany Jervon Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316300940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	3377 (Virgin Island)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	ME166935 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roy Lester Schneider Hospital,the	St thomas, VI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Thomas Radiology Associates Llc	0042235137	46
Medical Imaging Center Of Ocala Llp	0345130787	40
Inverness Medical Imaging Llc	3870590672	74
Timberridge Imaging Center	9436049863	41

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 Mahogany Jervon Ambrose allows following entities to bill medicare on her behalf.

Entity Name	St Thomas Radiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659385011 PECOS PAC ID: 0042235137 Enrollment ID: O20051007000487

Entity Name	Inverness Medical Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093763591 PECOS PAC ID: 3870590672 Enrollment ID: O20240325001708

Entity Name	Medical Imaging Center Of Ocala Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669469045 PECOS PAC ID: 0345130787 Enrollment ID: O20240405003877

Entity Name	Radiology Imaging Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400729 PECOS PAC ID: 2466342803 Enrollment ID: O20240424001406

Entity Name	Timberridge Imaging Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669460473 PECOS PAC ID: 9436049863 Enrollment ID: O20240429003426

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 Mahogany Jervon 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 Mahogany Jervon Ambrose, MD 3660 Broadway, Fort Myers, FL 33901-8005 Ph: (239) 936-2316	Mrs Mahogany Jervon Ambrose, MD 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912-4705 Ph: (239) 936-2316

Reviews and Comments

Radiology Doctors in Fort Myers, FL

Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316
Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316
Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588
Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989
Mitchell Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106
Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219
Dr. Michael J Weiss, MD Radiology Medicare: Medicare Enrolled Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588

Mrs Mahogany Jervon Ambrose, MD - Medicare Diagnostic Radiology in Fort Myers, FL