| Beth Pembroke, | |
|
16620 N 40th St Ste E-1, Phoenix, AZ 85032-3348 | |
| (602) 464-9576 | |
| (602) 626-8901 |
| Full Name | Beth Pembroke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 16620 N 40th St Ste E-1, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902304678 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1295 |
| Entity Name | Little Colorado Behavioral Health Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134292485 PECOS PAC ID: 4587657465 Enrollment ID: O20040406001303 |
| Entity Name | Sondermind Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230424000147 |
| 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 |
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 |
Sara Julander, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013 Phone: 602-277-4161 Fax: 602-266-3481 |
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: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 |
Dr. Monica Nassim Jeffers, NMD, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1732 E Sheena Dr, Phoenix, AZ 85022 Phone: 602-330-3420 |
Mrs. Kristin Carol Kolodziej, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3811 E Bell Rd Ste 206, Phoenix, AZ 85032 Phone: 480-680-6000 Fax: 480-306-5966 |
Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22044 N 44th St Ste 200, Phoenix, AZ 85050 Phone: 602-257-7673 Fax: 602-257-7344 |