Timothy Amborski, NP in Benton Harbor, MI - Medicare Nurse Practitioner

Timothy Amborski, NP is a medicare enrolled "Nurse Practitioner" in Benton Harbor, Michigan. His current practice location is 800 M 139, Benton Harbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (855) 869-6900.

Timothy Amborski is licensed to practice in Michigan (license number 4704244236) 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 1629578703.

Contact Information

	Timothy Amborski, NP
	800 M 139, Benton Harbor, MI 49022-3881
	(855) 869-6900
	(269) 927-4208

Map and Direction

Provider's Profile

Full Name	Timothy Amborski
Gender	Male
Speciality	Nurse Practitioner
Location	800 M 139, Benton Harbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629578703
Provider Enumeration Date: 02/15/2018
Last Update Date: 03/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3375808983
Enrollment ID: I20180601001293

Medical Identifiers

Medical identifiers for Timothy Amborski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629578703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704244236 (Michigan)	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. Timothy Amborski allows following entities to bill medicare on his behalf.

Entity Name	Intercare Community Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150

Entity Name	Mclaren Northern Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467463604 PECOS PAC ID: 4981506508 Enrollment ID: O20041103000525

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. Timothy Amborski 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
Timothy Amborski, NP 800 M 139, Benton Harbor, MI 49022-3881 Ph: (855) 869-6900	Timothy Amborski, NP 800 M 139, Benton Harbor, MI 49022-3881 Ph: (855) 869-6900

Reviews and Comments

Nurse Practitioner Nurses in Benton Harbor, MI

Ednah Kwamboka Makori, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 756 Pipestone St # 2, Benton Harbor, MI 49022 Phone: 269-926-8535
Mrs. Cynthia Carol Small, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 W Empire Ave # 1, Benton Harbor, MI 49022 Phone: 269-926-8535 Fax: 269-926-8528
Brianna Christine Medlin, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 M 139, Benton Harbor, MI 49022 Phone: 855-869-6900
Dr. Michella Bethea-jones, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1351 E Napier Ave, Benton Harbor, MI 49022 Phone: 269-934-5117
Christina Cabuena Oldham, PMH-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1485 M 139, Benton Harbor, MI 49022 Phone: 269-925-0585 Fax: 269-927-1326
Jenny Lynn Parker, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 M 139, Benton Harbor, MI 49022 Phone: 855-869-6900 Fax: 269-934-9146
Ollie Gene Lee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 733 Lavette Ave, Benton Harbor, MI 49022 Phone: 126-948-7149

Timothy Amborski, NP - Medicare Nurse Practitioner in Benton Harbor, MI