Maryalice N Ambrose, MD in Santa Clara, CA - Medicare Psychiatry & Neurology

Maryalice N Ambrose, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Santa Clara, California. Her current practice location is 710 Lawrence Expy, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-1000.

Maryalice N Ambrose is licensed to practice in California (license number A94922) 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 1558433375.

Contact Information

	Maryalice N Ambrose, MD
	710 Lawrence Expy, Santa Clara, CA 95051-5173
	(408) 851-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Maryalice N Ambrose
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	710 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558433375
Provider Enumeration Date: 11/15/2006
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 7214939081
Enrollment ID: I20070207000306

Medical Identifiers

Medical identifiers for Maryalice N Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558433375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	A94922 (California)	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. Maryalice N Ambrose allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Maryalice N 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
Maryalice N Ambrose, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Maryalice N Ambrose, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000

Reviews and Comments

Psychiatry & Neurology Doctors in Santa Clara, CA

Dwarka P. Sankar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Robert S. Elmore, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Jack Earl Kundin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3466 El Camino Real, Santa Clara, CA 95051 Phone: 408-554-1400 Fax: 408-554-1500
Jai Hee Cho, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Thomas W. Yang, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-366-4410
Dr. Sung Hak Choi, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3840 Homestead Rd, Kaiser Permanente Behavioral Health Center, Santa Clara, CA 95051 Phone: 408-851-4850
Dr. Cheri Dijamco Wu, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2445 Augustine Dr Ste 150, Santa Clara, CA 95054 Phone: 650-690-2070 Fax: 413-304-3831

Maryalice N Ambrose, MD - Medicare Psychiatry & Neurology in Santa Clara, CA