Michael Ambrose, MD is a medicare enrolled "Internal Medicine" provider in Mount Vernon, Illinois. His current practice location is
605 N 12th St, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 241-2212.
Michael Ambrose is licensed to practice in Illinois (license number 036128279) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538398680.
Healthcare Provider's Profile
Full Name | Michael Ambrose |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 605 N 12th St, Mount Vernon, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael Ambrose attended and graduated from in
NPI Data:
- NPI Number: 1538398680
- Provider Enumeration Date: 07/10/2009
- Last Update Date: 03/25/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michael Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538398680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038010043 (Illinois) | Secondary |
208M00000X | Hospitalist | 036128279 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036128279 (Illinois) | Primary |
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. Michael 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 |
Michael Ambrose, MD 5036 N Illinois St Ste 1, Fairview Heights, IL 62208-3418 Ph: (618) 671-6800 | Michael Ambrose, MD 605 N 12th St, Mount Vernon, IL 62864 Ph: (618) 241-2212 |
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