Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW in Orlando, FL

Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW is a medicare enrolled "Counselor - Mental Health" provider in Orlando, Florida. Her current practice location is 10244 E Colonial Dr Ste 110, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 202-9440.

Mrs Lyudmila Vitalia Ambrose is licensed to practice in Florida (license number ) 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 1245999028.

Contact Information

	Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW
	10244 E Colonial Dr Ste 110, Orlando, FL 32817-4365
	(407) 202-9440
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lyudmila Vitalia Ambrose
Gender	Female
Speciality	Counselor - Mental Health
Location	10244 E Colonial Dr Ste 110, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245999028
Provider Enumeration Date: 12/09/2021
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2668837287
Enrollment ID: I20230503001198

Medical Identifiers

Medical identifiers for Mrs Lyudmila Vitalia Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245999028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(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 Lyudmila Vitalia Ambrose allows following entities to bill medicare on her behalf.

Entity Name	Wise Future Group Support Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770181638 PECOS PAC ID: 5597120626 Enrollment ID: O20230425001633

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 Lyudmila Vitalia 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
Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW 10850 Emerald Chase Dr, Orlando, FL 32836-5882 Ph: (321) 446-1623	Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW 10244 E Colonial Dr Ste 110, Orlando, FL 32817-4365 Ph: (407) 202-9440

Reviews and Comments

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Mrs Lyudmila Vitalia Ambrose, TAXONOMY MSW - Medicare Counselor in Orlando, FL