Individual ProviderKatharine AmbrosettiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address619 19th St S, Birmingham, AL 35249-1900(205) 934-4011PECOS EnrollmentBased on the most recent information from CMS, provider Katharine Ambrosetti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1306207584Provider TypeIndividualFull NameAmbrosetti, KatharineCredentialP.A.-C.GenderFemaleSole ProprietorNoEnumeration Date3/15/2016Last Updated3/15/2016Contact InformationPractice LocationPractice Address619 19th St S, Birmingham, AL 35249-1900Phone(205) 934-4011FaxUnlisted FaxMailing LocationMailing AddressPO Box 55310, Birmingham, AL 35255-5310Phone(205) 934-4011FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer