Nicole Ambrose, PA-C is a medicare enrolled "Physician Assistant" physician in San Diego, California. Her current practice location is
1431 Yost Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(760) 766-6809.
Nicole Ambrose is licensed to practice in California (license number PA59843) 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 1780207449.
Physician's Profile
Full Name | Nicole Ambrose |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1431 Yost Dr, San Diego, California |
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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: 1780207449
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 12/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597153171
- Enrollment ID: I20211101002298
Medical Identifiers
Medical identifiers for Nicole Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780207449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA59843 (California) | Secondary |
363A00000X | Physician Assistant | PA59843 (California) | Primary |
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. Nicole 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 |
Nicole Ambrose, PA-C 1431 Yost Dr, San Diego, CA 92109-1347 Ph: () - | Nicole Ambrose, PA-C 1431 Yost Dr, San Diego, CA 92109-1347 Ph: (760) 766-6809 |
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