Brynn T Pembroke, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Cincinnati, Ohio. She graduated from healthcare school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Neuropsych Center Of Greater Cincinnati Llc and her current practice location is
4015 Executive Park Dr Ste 320, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 563-0488.
Brynn T Pembroke is licensed to practice in Ohio (license number APRN.CNP.0035797) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1033453295.
Healthcare Provider's Profile
| Full Name | Brynn T Pembroke |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 4015 Executive Park Dr Ste 320, Cincinnati, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brynn T Pembroke graduated from medical school in 2023
NPI Data:
- NPI Number: 1033453295
- Provider Enumeration Date: 11/12/2012
- Last Update Date: 02/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234575648
- Enrollment ID: I20240307003193
Medical Identifiers
Medical identifiers for Brynn T Pembroke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033453295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | E.0900659 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0035797 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Neuropsych Center Of Greater Cincinnati Llc | 2567754815 | 14 |
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. Brynn T Pembroke allows following entities to bill medicare on her behalf.
| Entity Name | Neuropsych Center Of Greater Cincinnati Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801241237
PECOS PAC ID: 2567754815
Enrollment ID: O20160707001716 |
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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. Brynn T 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 |
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Brynn T Pembroke, APRN
4015 Executive Park Dr Ste 320,
Cincinnati, OH 45241-4015
Ph: (513) 563-0488 | Brynn T Pembroke, APRN
4015 Executive Park Dr Ste 320,
Cincinnati, OH 45241-4015
Ph: (513) 563-0488 |
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