Stacy M Pemberton, is a
Nurse Practitioner - Psychiatric/mental Health based in Sequatchie, Tennessee. Stacy M Pemberton is licensed to practice in Tennessee (license number 36877) and her current practice location is
298 Sequatchie Mountain Rd, Sequatchie, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 605-7415.
NPI number for Stacy M Pemberton is 1063241438 and her current mailing address is 298 Sequatchie Mountain Rd, Sequatchie, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063241438.
Provider's Profile
Full Name | Stacy M Pemberton |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 298 Sequatchie Mountain Rd, Sequatchie, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063241438
- Provider Enumeration Date: 08/01/2024
- Last Update Date: 08/01/2024
Medical Identifiers
Medical identifiers for Stacy M Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063241438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 36877 (Tennessee) | 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. Stacy M 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 |
Stacy M Pemberton, 298 Sequatchie Mountain Rd, Sequatchie, TN 37374-5000 Ph: (423) 605-7415 | Stacy M Pemberton, 298 Sequatchie Mountain Rd, Sequatchie, TN 37374-5000 Ph: (423) 605-7415 |
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