Mrs Rebecca Carros Ambrose, CNM in Fayetteville, GA - Medicare Advanced Practice Midwife

Mrs Rebecca Carros Ambrose, CNM is a medicare enrolled "Advanced Practice Midwife" in Fayetteville, Georgia. Her current practice location is 1279 Highway 54 W Ste 100, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 719-5710.

Mrs Rebecca Carros Ambrose is licensed to practice in Georgia (license number RN112110) 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 1922291004.

Contact Information

	Mrs Rebecca Carros Ambrose, CNM
	1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551
	(770) 719-5710
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Rebecca Carros Ambrose
Gender	Female
Speciality	Advanced Practice Midwife
Location	1279 Highway 54 W Ste 100, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922291004
Provider Enumeration Date: 08/22/2007
Last Update Date: 11/18/2022

Medicare PECOS Information:

PECOS PAC ID: 6709212145
Enrollment ID: I20200204001250

Medical Identifiers

Medical identifiers for Mrs Rebecca Carros Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922291004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN112110 (Georgia)	Secondary
367A00000X	Advanced Practice Midwife	RN112110 (Georgia)	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. Mrs Rebecca Carros Ambrose allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321

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. Mrs Rebecca Carros 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
Mrs Rebecca Carros Ambrose, CNM 702 Canton Road, Marietta, GA 30060 Ph: (770) 428-4486	Mrs Rebecca Carros Ambrose, CNM 1279 Highway 54 W Ste 100, Fayetteville, GA 30214-4551 Ph: (770) 719-5710

Reviews and Comments

Advanced Practice Midwife Nurses in Fayetteville, GA

Kailee Bowlden, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1279 Highway 54 W Ste 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341
Ms. Victoria H Burslem, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1279 Hwy 54 West, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341
Kristin Holly, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1279 Highway 54 W Ste 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341
Ms. Stacy M Ulmer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1279 Highway 54 W Ste 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341
Joy Brumbeloe, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1260 Highway 54 W, Ste 101, Fayetteville, GA 30214 Phone: 770-460-4644
Doris Johanna Campanelli, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1279 Highway 54 W Ste 220, Fayetteville, GA 30214 Phone: 770-991-2200
Karen Uyesugi, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1279 Highway 54 W, Suite 220, Fayetteville, GA 30214 Phone: 770-991-2200 Fax: 770-991-1341

Mrs Rebecca Carros Ambrose, CNM - Medicare Advanced Practice Midwife in Fayetteville, GA