Beth Pembroke, in Phoenix, AZ - Medicare Nurse Practitioner

Beth Pembroke, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. Her current practice location is 16620 N 40th St Ste E-1, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 464-9576.

Beth Pembroke is licensed to practice in Arizona (license number 271416) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902304678.

Contact Information

	Beth Pembroke,
	16620 N 40th St Ste E-1, Phoenix, AZ 85032-3348
	(602) 464-9576
	(602) 626-8901

Map and Direction

Provider's Profile

Full Name	Beth Pembroke
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	16620 N 40th St Ste E-1, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902304678
Provider Enumeration Date: 01/29/2018
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 5991191520
Enrollment ID: I20220504000890

Medical Identifiers

Medical identifiers for Beth Pembroke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902304678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WA0400X	Registered Nurse - Addiction (substance Use Disorder)	650554 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	271416 (Arizona)	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. Beth Pembroke allows following entities to bill medicare on her behalf.

Entity Name	Health Group Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932560729 PECOS PAC ID: 9335430693 Enrollment ID: O20160617000240

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. Beth Pembroke 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
Beth Pembroke, 4531 N 16th St Ste 114, Phoenix, AZ 85016-5344 Ph: (602) 464-9576	Beth Pembroke, 16620 N 40th St Ste E-1, Phoenix, AZ 85032-3348 Ph: (602) 464-9576

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Miss Kimara Vaughn, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 E Van Buren St, Phoenix, AZ 85008 Phone: 602-273-9999
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2632 E Thomas Rd # 100, Phoenix, AZ 85016 Phone: 602-957-2507
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Mrs. Sonia Teresa Brunson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 E Morten Ave Unit 54, Phoenix, AZ 85020 Phone: 925-413-9919

Beth Pembroke, - Medicare Nurse Practitioner in Phoenix, AZ