Karla Rae Ambroz, MD | |
1109 S Lincoln Ave, Urbana, IL 61801-4703 | |
(217) 333-2711 | |
(217) 244-1758 |
Full Name | Karla Rae Ambroz |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1109 S Lincoln Ave, Urbana, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750336103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6650A (Wyoming) | Secondary |
207Q00000X | Family Medicine | 9801139 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 036103211 (Illinois) | Primary |
Entity Name | Western North Carolina Community Health Services Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780801050 PECOS PAC ID: 0840264669 Enrollment ID: O20040825001424 |
Mailing Address | Practice Location Address |
---|---|
Karla Rae Ambroz, MD Po Box 13044, Jackson, WY 83002-3044 Ph: (307) 739-1099 | Karla Rae Ambroz, MD 1109 S Lincoln Ave, Urbana, IL 61801-4703 Ph: (217) 333-2711 |
Anuja Bedi, D.O, M.P.H Family Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Timtim Apperson, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-954-2805 | |
Sharon L. Moy, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801 Phone: 217-244-5324 | |
Simone R Hampton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3170 Fax: 217-383-7650 | |
Manada Khaing, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Stephen M Rudawski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3170 Fax: 217-383-7650 | |
Christian E Wagner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1818 E Windsor Rd, Urbana, IL 61802 Phone: 217-255-9670 Fax: 217-255-9650 |