Mrs Latonia Michelle Ambush, in Tallahassee, FL

Mrs Latonia Michelle Ambush, is a medicare enrolled "Counselor - Mental Health" provider in Tallahassee, Florida. Her current practice location is 4085 W Bugle View Way, Tallahassee, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 361-8421.

Mrs Latonia Michelle Ambush is licensed to practice in Florida (license number MH21748) 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 1508161852.

Contact Information

	Mrs Latonia Michelle Ambush,
	4085 W Bugle View Way, Tallahassee, FL 32317-7120
	(850) 361-8421
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Latonia Michelle Ambush
Gender	Female
Speciality	Counselor - Mental Health
Location	4085 W Bugle View Way, Tallahassee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508161852
Provider Enumeration Date: 01/18/2011
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 2264872910
Enrollment ID: I20240430000158

Medical Identifiers

Medical identifiers for Mrs Latonia Michelle Ambush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508161852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	MH21748 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	MH21748 (Florida)	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 Latonia Michelle Ambush allows following entities to bill medicare on her behalf.

Entity Name	Direct Access Counseling & Supportive Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Morning Comes Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154175917 PECOS PAC ID: 0446690192 Enrollment ID: O20240430000057

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 Latonia Michelle Ambush 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 Latonia Michelle Ambush, Po Box 530077, Atlanta, GA 30353-0077 Ph: () -	Mrs Latonia Michelle Ambush, 4085 W Bugle View Way, Tallahassee, FL 32317-7120 Ph: (850) 361-8421

Reviews and Comments

Counselor in Tallahassee, FL

Courtney Lee Baggs, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Miccosukee Commons Drive, Tallahassee, FL 32308 Phone: 850-219-4217
Dr. Joanna T. Love, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Covington Dr, Tallahassee, FL 32312 Phone: 850-228-2490
Janet Ann Nelson, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2888 Mahan Dr Ste 4, Tallahassee, FL 32308 Phone: 850-385-9046
Holly Wingate, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2236 Capital Cir Ne, Tallahassee, FL 32308 Phone: 850-792-7795 Fax: 850-331-6422
Dr. Darlene A Treese, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2804 Remington Green Cir, Suite 3, Tallahassee, FL 32308 Phone: 850-201-0073
Mrs. Chrystie Tyler Newell, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Universal Dr, Tallahassee, FL 32303 Phone: 850-385-1839 Fax: 850-386-8371
Ashley Caridad Sendin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Miccosukee Commons Dr, Tallahassee, FL 32308 Phone: 850-219-4217 Fax: 850-921-8997

Mrs Latonia Michelle Ambush, - Medicare Counselor in Tallahassee, FL