| Jackson Pemberton, MD | |
|
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
| (859) 301-2018 | |
| (859) 301-2073 |
| Full Name | Jackson Pemberton |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1 Medical Village Dr, Edgewood, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891781969 | NPI | - | NPPES |
| 2463507 | Medicaid | OH | |
| 64258353 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 25835 (Kentucky) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25835 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Pemberton, MD Po Box 636324, Cincinnati, OH 45263-6324 Ph: (859) 301-2018 | Jackson Pemberton, MD 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 301-2018 |
Rasha Salama, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2018 Fax: 859-301-2073 | |
Dr. Kathleen Matthews, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-2073 | |
Dr. Donn R Burns, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2071 Fax: 859-301-2073 | |
Mohammad M Yousef, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, St Elizabeth Healthcare, Edgewood, KY 41017 Phone: 859-301-2018 Fax: 859-301-2073 | |
Jennifer Leidy, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2018 Fax: 859-301-2073 | |
Tareq Z.s. Qdaisat, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2018 Fax: 859-301-2073 | |
Nooshafarin Sahebjami, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-3904 Fax: 859-344-2073 |