Dr Derron Kg Ambrose, PHD - Medicare Psychologist in St. Thomas, VI

  1. Home
  2. Psychologists
  3. VI
  4. St. Thomas
Dr Derron Kg Ambrose, PHD is a medicare enrolled "Psychologist" provider in St. Thomas, Virgin Island. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Synergy Fitness And Wellness Center Llc, Vi Government Hospital And Health Facilities Corp and his current practice location is 9048 Alton Adams Sr Dr, St. Thomas, Virgin Island. You can reach out to his office (for appointments etc.) via phone at (340) 776-8311.

Dr Derron Kg Ambrose is licensed to practice in Washington (license number PY60949800) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164861233.

Contact Information

Dr Derron Kg Ambrose, PHD
9048 Alton Adams Sr Dr,
St. Thomas, VI 00802
(340) 776-8311
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Derron Kg Ambrose
GenderMale
SpecialityClinical Psychologist
Experience8 Years
Location9048 Alton Adams Sr Dr, St. Thomas, Virgin Island
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derron Kg Ambrose graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1164861233
  • Provider Enumeration Date: 06/21/2013
  • Last Update Date: 03/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183009673
  • Enrollment ID: I20220920001622

Medical Identifiers

Medical identifiers for Dr Derron Kg Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164861233NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY60949800 (Washington)Secondary
103T00000XPsychologist PY60949800 (Washington)Primary
103TC0700XPsychologist - Clinical 22-047-PSY (Virgin Island)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Synergy Fitness And Wellness Center Llc23656632676
Vi Government Hospital And Health Facilities Corp620472287936

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. Dr Derron Kg Ambrose allows following entities to bill medicare on his behalf.
Entity NameVi Government Hospital And Health Facilities Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487699047
PECOS PAC ID: 6204722879
Enrollment ID: O20040223000586
Entity NameSynergy Fitness And Wellness Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013346832
PECOS PAC ID: 2365663267
Enrollment ID: O20141017000953

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. Dr Derron Kg 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
Dr Derron Kg Ambrose, PHD
Po Box 600205,
St Thomas, VI 00801-6205

Ph: (340) 776-8311		Dr Derron Kg Ambrose, PHD
9048 Alton Adams Sr Dr,
St. Thomas, VI 00802

Ph: (340) 776-8311

Reviews and Comments


Psychologist in St. Thomas, VI

Dr. Ilene Victoria Rothgeb, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10 Norre Gade, St. Thomas, VI 00802
Phone: 340-776-3653    
Dr. Lanee Susann Rivers, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 9048 Sugar Estate, Schneider Regional Medical Center, St. Thomas, VI 00802
Phone: 340-776-8311    
Wendy Wilson Stiles,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Havensight Way, St. Thomas, VI 00802
Phone: 340-244-9658    Fax: 727-290-3782

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.