Ambra Jordan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Brookhaven, Georgia. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Emory Specialty Associates, Llc and her current practice location is
3171 Mae Ave Ne, Brookhaven, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 606-0084.
Ambra Jordan is licensed to practice in Georgia (license number RN199382) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972992493.
Provider's Profile
| Full Name | Ambra Jordan |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 3171 Mae Ave Ne, Brookhaven, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ambra Jordan graduated from nursing school in 2014
NPI Data:
- NPI Number: 1972992493
- Provider Enumeration Date: 01/21/2015
- Last Update Date: 01/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 2163711185
- Enrollment ID: I20170814000662
Medical Identifiers
Medical identifiers for Ambra Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972992493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RN199382 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emory Specialty Associates, Llc | 3476559782 | 435 |
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. Ambra Jordan allows following entities to bill medicare on her behalf.
| Entity Name | Emory Specialty Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447 |
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| Entity Name | Choa Hospital Based, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457695488
PECOS PAC ID: 4688812498
Enrollment ID: O20130605000601 |
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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. Ambra Jordan 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 |
|---|
Ambra Jordan,
3171 Mae,
Atlanta, GA 30319
Ph: (404) 606-0084 | Ambra Jordan,
3171 Mae Ave Ne,
Brookhaven, GA 30319-2323
Ph: (404) 606-0084 |
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