Shannon Summer Pemberton, PMHNP - Medicare Nurse Practitioner in Barboursville, WV

Shannon Summer Pemberton, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Barboursville, West Virginia. Her current practice location is 6171 Childers Rd, Barboursville, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 733-5380.

Shannon Summer Pemberton is licensed to practice in Kentucky (license number 3018645) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346958279.

Contact Information

Shannon Summer Pemberton, PMHNP
6171 Childers Rd,
Barboursville, WV 25504-1227
(304) 733-5380
Not Available



Provider's Profile

Full NameShannon Summer Pemberton
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6171 Childers Rd, Barboursville, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346958279
  • Provider Enumeration Date: 11/09/2022
  • Last Update Date: 11/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173994449
  • Enrollment ID: I20230427000204

Medical Identifiers

Medical identifiers for Shannon Summer Pemberton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346958279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 3018645 (Kentucky)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. Shannon Summer Pemberton allows following entities to bill medicare on her behalf.
Entity NameStultz Sleep Study Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649593377
PECOS PAC ID: 0840316204
Enrollment ID: O20100923000513

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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. Shannon Summer 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 AddressPractice Location Address
Shannon Summer Pemberton, PMHNP
143 Private Drive 11202 Unit 3,
Chesapeake, OH 45619-7014

Ph: (304) 617-7999
Shannon Summer Pemberton, PMHNP
6171 Childers Rd,
Barboursville, WV 25504-1227

Ph: (304) 733-5380

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Nurse Practitioner Nurses in Barboursville, WV

Mrs. Sarah Shannon, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6475 Farmdale Rd, Barboursville, WV 25504
Phone: 304-529-7004    Fax: 304-529-7303
Erin Nethercutt, APRN FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6350 Us Route 60 E, Barboursville, WV 25504
Phone: 304-399-3350    Fax: 304-955-5047
Royale Brown, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6475 Farmdale Rd, Barboursville, WV 25504
Phone: 304-529-7004    
Lindsey Litchfield, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6350 Us Route 60 E, Barboursville, WV 25504
Phone: 304-399-3350    Fax: 304-697-2086
Mrs. Holly Anne Morning-fannin, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Chateau Grove Lang, Barboursville, WV 25504
Phone: 304-736-4000    Fax: 304-736-4751
Mrs. Patricia Annette Stiltner, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6475 Farmdale Rd, Barboursville, WV 25504
Phone: 304-529-7000    
Chelse R Johnson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Chateau Grove Ln, Barboursville, WV 25504
Phone: 304-736-9662    

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