Mr Alan W Ambrose, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Seminole, Florida. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Florida Pain Relief Group Pllc and his current practice location is
8066 124th St, Seminole, Florida. You can reach out to his office (for appointments etc.) via phone at
(215) 346-6452.
Mr Alan W Ambrose is licensed to practice in Florida (license number ARNP 9312316) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619916152.
Provider's Profile
Full Name | Mr Alan W Ambrose |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 18 Years |
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Location | 8066 124th St, Seminole, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Alan W Ambrose graduated from nursing school in 2006
NPI Data:
- NPI Number: 1619916152
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 05/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830193283
- Enrollment ID: I20130805000697
Medical Identifiers
Medical identifiers for Mr Alan W Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619916152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | ARNP 9312316 (Florida) | Primary |
174400000X | Specialist | RN342910L (Pennsylvania) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Florida Pain Relief Group Pllc | 4688960271 | 68 |
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. Mr Alan W Ambrose allows following entities to bill medicare on his behalf.
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
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Entity Name | Advanced Anesthesia Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811056153 PECOS PAC ID: 3173518966 Enrollment ID: O20040420000472 |
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Entity Name | Innovative Medical Staffing Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629308713 PECOS PAC ID: 8022149764 Enrollment ID: O20100624000708 |
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Entity Name | Florida Pain Relief Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
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Entity Name | Sunshine State Anesthesia Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
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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. Mr Alan W 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 |
Mr Alan W Ambrose, CRNA 8066 124th St, Seminole, FL 33772-4419 Ph: (215) 346-6452 | Mr Alan W Ambrose, CRNA 8066 124th St, Seminole, FL 33772-4419 Ph: (215) 346-6452 |
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