| Staci Lea Cohen Ambrose, PA-C | |
|
1407 York Rd Ste 100a, Lutherville, MD 21093-6077 | |
| (410) 252-9090 | |
| Not Available |
| Full Name | Staci Lea Cohen Ambrose |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1407 York Rd Ste 100a, Lutherville, 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 |
|---|---|---|---|
| 1851970610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skin Care Specialty Physicians Llc | 6608978622 | 17 |
| Entity Name | Sinai Hospital of Baltimore, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043235666 PECOS PAC ID: 0941112346 Enrollment ID: O20031104000353 |
| Entity Name | Skin Care Specialty Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477641447 PECOS PAC ID: 6608978622 Enrollment ID: O20070222000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci Lea Cohen Ambrose, PA-C 1407 York Rd Ste 100a, Lutherville, MD 21093-6077 Ph: (410) 601-9000 | Staci Lea Cohen Ambrose, PA-C 1407 York Rd Ste 100a, Lutherville, MD 21093-6077 Ph: (410) 252-9090 |
Mr. Edward M Klepper Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 W Ridgely Rd Ste 4b, Lutherville, MD 21093 Phone: 410-561-1960 |
Asaf Singerman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1766 York Rd, Lutherville, MD 21093 Phone: 443-275-5090 |
Raven A Morris, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10755 Falls Rd, Suite 160, Lutherville, MD 21093 Phone: 410-583-2777 Fax: 410-583-2782 |
Monica Borcherts Ramirez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 63 E Padonia Rd, Lutherville, MD 21093 Phone: 734-936-2047 |
Alissa Joy Attman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 W Ridgely Rd, Lutherville, MD 21093 Phone: 410-561-1960 |
Ms. Stephanie Diane Johnson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10755 Falls Rd, Suite 160, Lutherville, MD 21093 Phone: 410-583-2777 Fax: 410-583-2782 |
Prof. Jack A. Goble Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Suite 160, Lutherville, MD 21093 Phone: 410-285-2777 |