Mitzi Gail Pemberton, LPN - Licensed Practical Nurse in Ponca City, OK

Mitzi Gail Pemberton, LPN is a Licensed Practical Nurse based in Ponca City, Oklahoma. Mitzi Gail Pemberton is licensed to practice in Oklahoma (license number L0045857) and her current practice location is 1500 N 6th St, Ponca City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (580) 763-0931.

NPI number for Mitzi Gail Pemberton is 1366717134 and her current mailing address is 3003 Turner St Apt B, Ponca City, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366717134.

Contact Information

Mitzi Gail Pemberton, LPN
1500 N 6th St,
Ponca City, OK 74601-2827
(580) 763-0931
(580) 763-0934



Provider's Profile

Full NameMitzi Gail Pemberton
GenderFemale
SpecialityLicensed Practical Nurse
Location1500 N 6th St, Ponca City, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366717134
  • Provider Enumeration Date: 03/13/2012
  • Last Update Date: 03/13/2012

Medical Identifiers

Medical identifiers for Mitzi Gail Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366717134NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L0045857 (Oklahoma)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. Mitzi Gail 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
Mitzi Gail Pemberton, LPN
3003 Turner St Apt B,
Ponca City, OK 74604-1537

Ph: (580) 763-7171
Mitzi Gail Pemberton, LPN
1500 N 6th St,
Ponca City, OK 74601-2827

Ph: (580) 763-0931

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Ponca City, OK

Jackie Sue Tarr, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1417 Mcgraw Dr, Ponca City, OK 74601
Phone: 580-765-1926    
Ms. Ginny Rebecca Mashburn, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 200 White Eagle Dr, Ponca City, OK 74601
Phone: 580-765-2501    Fax: 580-765-7289
Mrs. Anna Mckinnis Beard, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 200 White Eagle Dr, Ponca City, OK 74601
Phone: 580-765-2510    
Amanda Maria Pattison,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13 Hillcrest Dr, Ponca City, OK 74604
Phone: 580-761-5197    
Scott Layton,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1116 Brentwood Dr, Ponca City, OK 74601
Phone: 580-762-0517    
Beverly F. Brown, L.P.N.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 200 White Eagle Dr, Ponca City, OK 74601
Phone: 580-765-2501    Fax: 580-765-6348
Amber Mischelle Miller, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13 Hillcrest Dr, Ponca City, OK 74604
Phone: 580-401-0386    

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