Ambrosia Simmons, MD,PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in Clovis, New Mexico. Her current practice location is
2219 Dillon St, Hematology/oncology - Clovis, Clovis, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 769-7365.
Ambrosia Simmons is licensed to practice in New Mexico (license number MD2023-1331) 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 1932769627.
Physician's Profile
Full Name | Ambrosia Simmons |
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Gender | Female |
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Speciality | Radiology - Radiation Oncology |
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Location | 2219 Dillon St, Clovis, New Mexico |
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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: 1932769627
- Provider Enumeration Date: 06/16/2019
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719422443
- Enrollment ID: I20240717002229
Medical Identifiers
Medical identifiers for Ambrosia Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932769627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | MD2023-1331 (New Mexico) | 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. Ambrosia Simmons allows following entities to bill medicare on her behalf.
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
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Entity Name | Southwest Medical Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
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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. Ambrosia Simmons 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 |
Ambrosia Simmons, MD,PHD Po Box 26666, Albuquerque, NM 87125-6666 Ph: () - | Ambrosia Simmons, MD,PHD 2219 Dillon St, Hematology/oncology - Clovis, Clovis, NM 88101-9454 Ph: (575) 769-7365 |
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