Stacy M Pemberton, - Medicare Nurse Practitioner in Sequatchie, TN

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Stacy M Pemberton, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sequatchie, Tennessee. Her current practice location is 298 Sequatchie Mountain Rd, Sequatchie, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 605-7415.

Stacy M Pemberton is licensed to practice in Tennessee (license number 36877) 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 1063241438.

Contact Information

Stacy M Pemberton,
298 Sequatchie Mountain Rd,
Sequatchie, TN 37374-5000
(423) 605-7415
Not Available

Map and Direction




Provider's Profile

Full NameStacy M Pemberton
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location298 Sequatchie Mountain Rd, Sequatchie, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063241438
  • Provider Enumeration Date: 08/01/2024
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406381813
  • Enrollment ID: I20241121004536

Medical Identifiers

Medical identifiers for Stacy M Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063241438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 36877 (Tennessee)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. Stacy M Pemberton allows following entities to bill medicare on her behalf.
Entity NameErlanger Behavioral Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306354790
PECOS PAC ID: 3870857949
Enrollment ID: O20181119003389
Entity NameKnoxville Center For Behavioral Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710640776
PECOS PAC ID: 0244624195
Enrollment ID: O20230608000113
Entity NameCookeville Psychiatric Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740064245
PECOS PAC ID: 4981054350
Enrollment ID: O20231227001818

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 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 AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Sequatchie, TN

Mrs. Heidi M Bradley, RN FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8401 Highway 150, Sequatchie, TN 37374
Phone: 678-687-4376    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.