Caleb James Pemberton, FNP-C in Kokomo, IN - Medicare Nurse Practitioner

Caleb James Pemberton, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. His current practice location is 2340 W Sycamore St, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 437-9394.

Caleb James Pemberton is licensed to practice in Indiana (license number 71015354A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346012606.

Contact Information

	Caleb James Pemberton, FNP-C
	2340 W Sycamore St, Kokomo, IN 46901-4108
	(765) 437-9394
	Not Available

Map and Direction

Provider's Profile

Full Name	Caleb James Pemberton
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2340 W Sycamore St, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346012606
Provider Enumeration Date: 10/30/2023
Last Update Date: 07/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6204373368
Enrollment ID: I20240807000359

Medical Identifiers

Medical identifiers for Caleb James Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346012606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71015354A (Indiana)	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. Caleb James Pemberton allows following entities to bill medicare on his behalf.

Entity Name	Minuteclinic Diagnostics Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830

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. Caleb James 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
Caleb James Pemberton, FNP-C 210 E Adams St, Tipton, IN 46072-2004 Ph: (765) 437-9394	Caleb James Pemberton, FNP-C 2340 W Sycamore St, Kokomo, IN 46901-4108 Ph: (765) 437-9394

Reviews and Comments

Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160

Caleb James Pemberton, FNP-C - Medicare Nurse Practitioner in Kokomo, IN