Mrs Tracy Ellen Ambos, MSW, LCSW-C, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Joint Base Andrews, Maryland. Her current practice location is
5100 Fetcher Avenue, Joint Base Andrews, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 612-7600.
Mrs Tracy Ellen Ambos is licensed to practice in District Of Columbia (license number LC303237) 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 1487010971.
Healthcare Provider's Profile
Full Name | Mrs Tracy Ellen Ambos |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5100 Fetcher Avenue, Joint Base Andrews, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487010971
- Provider Enumeration Date: 01/13/2016
- Last Update Date: 01/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668727918
- Enrollment ID: I20230112001198
Medical Identifiers
Medical identifiers for Mrs Tracy Ellen Ambos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487010971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC303237 (District Of Columbia) | 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. Mrs Tracy Ellen Ambos allows following entities to bill medicare on her behalf.
Entity Name | Uplift Health Technologies Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770189243 PECOS PAC ID: 5092109918 Enrollment ID: O20220218000586 |
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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. Mrs Tracy Ellen Ambos 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 |
Mrs Tracy Ellen Ambos, MSW, LCSW-C, LICSW 7124 Langley Ct, Hughesville, MD 20637-2714 Ph: (240) 577-5528 | Mrs Tracy Ellen Ambos, MSW, LCSW-C, LICSW 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 Ph: (240) 612-7600 |
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