Jackson Pemberton, MD - Pathology in Edgewood, KY

Jackson Pemberton, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Edgewood, Kentucky. Jackson Pemberton is licensed to practice in Kentucky (license number 25835) and his current practice location is 1 Medical Village Dr, Edgewood, Kentucky. He can be reached at his office (for appointments etc.) via phone at (859) 301-2018.

NPI number for Jackson Pemberton is 1891781969 and his current mailing address is Po Box 636324, Cincinnati, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891781969.

Contact Information

Jackson Pemberton, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403
(859) 301-2018
(859) 301-2073



Physician's Profile

Full NameJackson Pemberton
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location1 Medical Village Dr, Edgewood, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891781969
  • Provider Enumeration Date: 09/23/2005
  • Last Update Date: 09/20/2018

Medical Identifiers

Medical identifiers for Jackson Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891781969NPI-NPPES
2463507MedicaidOH
64258353MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 25835 (Kentucky)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 25835 (Kentucky)Primary

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. Jackson Pemberton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Pemberton, MD
Po Box 636324,
Cincinnati, OH 45263-6324

Ph: (859) 301-2018
Jackson Pemberton, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 301-2018

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Pathology Doctors in Edgewood, KY

Rasha Salama, M.D
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2018    Fax: 859-301-2073
Dr. Kathleen Matthews, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2000    Fax: 859-301-2073
Dr. Donn R Burns, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2071    Fax: 859-301-2073
Mohammad M Yousef, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, St Elizabeth Healthcare, Edgewood, KY 41017
Phone: 859-301-2018    Fax: 859-301-2073
Jennifer Leidy, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2018    Fax: 859-301-2073
Tareq Z.s. Qdaisat, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2018    Fax: 859-301-2073
Nooshafarin Sahebjami, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-344-3904    Fax: 859-344-2073

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