Christian Jacob Pemberton, MD is a
Psychiatry & Neurology - Psychiatry physician based in Newport, Kentucky. Christian Jacob Pemberton is licensed to practice in Kentucky (license number 58963) and his current practice location is 1400 Grand Ave, Newport, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(859) 301-5901.
NPI number for Christian Jacob Pemberton is 1639705619 and his current mailing address is Po Box 635283, Cincinnati, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639705619.
Physician's Profile
Full Name | Christian Jacob Pemberton |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1400 Grand Ave, Newport, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639705619
- Provider Enumeration Date: 03/21/2020
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Christian Jacob Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639705619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 58963 (Kentucky) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Christian Jacob Pemberton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christian Jacob Pemberton, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-5901 | Christian Jacob Pemberton, MD 1400 Grand Ave, Newport, KY 41071-2570 Ph: (859) 301-5901 |
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