Jason Mathias Ambrose, CRNA - Medicare Nurse Anesthetist, Certified Registered in Mount Carmel, IL

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Jason Mathias Ambrose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Carmel, Illinois. His current practice location is 1418 College Dr, Mount Carmel, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 262-8621.

Jason Mathias Ambrose is licensed to practice in Illinois (license number 209.031846) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669271318.

Contact Information

Jason Mathias Ambrose, CRNA
1418 College Dr,
Mount Carmel, IL 62863-2638
(618) 262-8621
Not Available

Map and Direction




Provider's Profile

Full NameJason Mathias Ambrose
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1418 College Dr, Mount Carmel, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669271318
  • Provider Enumeration Date: 03/13/2025
  • Last Update Date: 03/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032633672
  • Enrollment ID: I20250404001693

Medical Identifiers

Medical identifiers for Jason Mathias Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669271318NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209.031846 (Illinois)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. Jason Mathias Ambrose allows following entities to bill medicare on his behalf.
Entity NameWabash General Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295834208
PECOS PAC ID: 8022908185
Enrollment ID: O20040319001265

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. Jason Mathias 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 AddressPractice Location Address
Jason Mathias Ambrose, CRNA
3211 W Virginia St,
Evansville, IN 47712-7836

Ph: (812) 598-9847		Jason Mathias Ambrose, CRNA
1418 College Dr,
Mount Carmel, IL 62863-2638

Ph: (618) 262-8621

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mount Carmel, IL

Christopher Slane, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1418 College Dr, Mount Carmel, IL 62863
Phone: 618-262-8621    
Jeremiah Lee Martin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1418 College Dr, Mount Carmel, IL 62863
Phone: 618-262-8621    
Mr. Casey Joe Griffith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1418 College Dr, Mount Carmel, IL 62863
Phone: 618-263-6300    
Dr. Kyle Everett Smith, DNP-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1418 College Dr, Mount Carmel, IL 62863
Phone: 618-262-8621    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.