Sara Ambrose, FNP in Fort Valley, GA - Medicare Nurse Practitioner

Sara Ambrose, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Valley, Georgia. Her current practice location is 209 N Camellia Blvd, Fort Valley, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 822-0054.

Sara Ambrose is licensed to practice in Georgia (license number RN294569) 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 1457163834.

Contact Information

	Sara Ambrose, FNP
	209 N Camellia Blvd, Fort Valley, GA 31030-3368
	(478) 822-0054
	(478) 822-0059

Map and Direction

Provider's Profile

Full Name	Sara Ambrose
Gender	Female
Speciality	Nurse Practitioner - Family
Location	209 N Camellia Blvd, Fort Valley, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457163834
Provider Enumeration Date: 01/23/2025
Last Update Date: 01/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6709316847
Enrollment ID: I20250205001289

Medical Identifiers

Medical identifiers for Sara Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457163834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN294569 (Georgia)	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. Sara Ambrose allows following entities to bill medicare on her behalf.

Entity Name	Careconnect Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286

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. Sara 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
Sara Ambrose, FNP 209 N Camellia Blvd, Fort Valley, GA 31030-3368 Ph: (478) 822-0054	Sara Ambrose, FNP 209 N Camellia Blvd, Fort Valley, GA 31030-3368 Ph: (478) 822-0054

Reviews and Comments

Nurse Practitioner Nurses in Fort Valley, GA

Alisha Nicole Thomas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Avera Dr, Fort Valley, GA 31030 Phone: 478-825-3317 Fax: 478-825-5499
Janet Kay Logan, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 803 Mlk Drive, Fort Valley, GA 31030 Phone: 478-827-0710 Fax: 478-827-0677
Gloria Lucille Harden, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Camellia Blvd, Fort Valley, GA 31030 Phone: 478-822-0054
Renee Nichols Bailey, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Camellia Blvd, Fort Valley, GA 31030 Phone: 478-822-0054 Fax: 478-822-0059
Kasey Eavenson Fish, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Bluebird Blvd, Fort Valley, GA 31030 Phone: 478-825-7000
Rose C Birmingham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Camellia Blvd, Fort Valley, GA 31030 Phone: 478-822-0054 Fax: 478-822-0059

Sara Ambrose, FNP - Medicare Nurse Practitioner in Fort Valley, GA