Thomas J Pemberton, in Tempe, AZ - Medicare Nurse Practitioner

Thomas J Pemberton, is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Tempe, Arizona. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Empact- Suicide Prevention Center and his current practice location is 618 S Madison Dr, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 784-1514.

Thomas J Pemberton is licensed to practice in Arizona (license number RN196326) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528600012.

Contact Information

	Thomas J Pemberton,
	618 S Madison Dr, Tempe, AZ 85281-7248
	(480) 784-1514
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas J Pemberton
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	618 S Madison Dr, Tempe, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Thomas J Pemberton graduated from nursing school in 2019

NPI Data:

NPI Number: 1528600012
Provider Enumeration Date: 10/16/2019
Last Update Date: 07/28/2020

Medicare PECOS Information:

PECOS PAC ID: 9335578822
Enrollment ID: I20200403002904

Medical Identifiers

Medical identifiers for Thomas J Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528600012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN196326 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Empact- Suicide Prevention Center	2365416575	25

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. Thomas J Pemberton allows following entities to bill medicare on his behalf.

Entity Name	Empact- Suicide Prevention Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003982133 PECOS PAC ID: 2365416575 Enrollment ID: O20040824000311

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. Thomas J 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 Address	Practice Location Address
Thomas J Pemberton, 11518 E Apache Trl Ste 129, Apache Junction, AZ 85120-3572 Ph: (480) 317-2214	Thomas J Pemberton, 618 S Madison Dr, Tempe, AZ 85281-7248 Ph: (480) 784-1514

Reviews and Comments

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Thomas J Pemberton, - Medicare Nurse Practitioner in Tempe, AZ