Abram Ambriz, NP in Tyler, TX - Medicare Nurse Practitioner

Abram Ambriz, NP is a medicare enrolled "Nurse Practitioner" in Tyler, Texas. His current practice location is 2608 Mcdonald Rd, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-5514.

Abram Ambriz is licensed to practice in Texas (license number AP140089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003414525.

Contact Information

	Abram Ambriz, NP
	2608 Mcdonald Rd, Tyler, TX 75701-5934
	(903) 595-5514
	(903) 262-3715

Map and Direction

Provider's Profile

Full Name	Abram Ambriz
Gender	Male
Speciality	Nurse Practitioner
Location	2608 Mcdonald Rd, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003414525
Provider Enumeration Date: 10/16/2020
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 6901217041
Enrollment ID: I20201123000627

Medical Identifiers

Medical identifiers for Abram Ambriz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003414525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP140089 (Texas)	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. Abram Ambriz allows following entities to bill medicare on his behalf.

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Abram Ambriz 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
Abram Ambriz, NP 2608 Mcdonald Rd, Tyler, TX 75701-5934 Ph: (903) 595-5514	Abram Ambriz, NP 2608 Mcdonald Rd, Tyler, TX 75701-5934 Ph: (903) 595-5514

Reviews and Comments

Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995
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Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211

Abram Ambriz, NP - Medicare Nurse Practitioner in Tyler, TX