Lily Kathryn Pemberton, MD is a
Student In An Organized Health Care Education/training Program physician based in Philadelphia, Pennsylvania. Lily Kathryn Pemberton is licensed to practice in Pennsylvania (license number MT194668) and her current practice location is 3400 Spruce St, One Maloney, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 662-2730.
NPI number for Lily Kathryn Pemberton is 1831333772 and her current mailing address is 3400 Spruce St, One Maloney, Philadelphia, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831333772.
Physician's Profile
Full Name | Lily Kathryn Pemberton |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3400 Spruce St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831333772
- Provider Enumeration Date: 04/22/2009
- Last Update Date: 04/22/2009
Medical Identifiers
Medical identifiers for Lily Kathryn Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831333772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | MT194668 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MT194668 (Pennsylvania) | Primary |
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. Lily Kathryn 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 |
Lily Kathryn Pemberton, MD 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-2730 | Lily Kathryn Pemberton, MD 3400 Spruce St, One Maloney, Philadelphia, PA 19104-4206 Ph: (215) 662-2730 |
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