Dr Tamikia Latray Prunty, DC in Carrollton, TX - Medicare Chiropractor Provider

Dr Tamikia Latray Prunty, DC is a medicare enrolled "Chiropractor - Independent Medical Examiner" provider in Carrollton, Texas. Her current practice location is 1930 E Rosemeade Pkwy Ste 204, Carrollton, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 395-9350.

Dr Tamikia Latray Prunty is licensed to practice in Texas (license number 13247) 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 1003367731.

Contact Information

	Dr Tamikia Latray Prunty, DC
	1930 E Rosemeade Pkwy Ste 204, Carrollton, TX 75007-2468
	(972) 395-9350
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tamikia Latray Prunty
Gender	Female
Speciality	Chiropractor - Independent Medical Examiner
Location	1930 E Rosemeade Pkwy Ste 204, Carrollton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003367731
Provider Enumeration Date: 10/18/2016
Last Update Date: 12/24/2020

Medicare PECOS Information:

PECOS PAC ID: 8022423136
Enrollment ID: I20210224000508

Medical Identifiers

Medical identifiers for Dr Tamikia Latray Prunty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003367731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NI0013X	Chiropractor - Independent Medical Examiner	13247 (Texas)	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. Dr Tamikia Latray Prunty allows following entities to bill medicare on her behalf.

Provider Name	Tamikia L Prunty Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679165518 PECOS PAC ID: 6305251414 Enrollment ID: O20210224000427

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. Dr Tamikia Latray Prunty 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
Dr Tamikia Latray Prunty, DC 2022 Shenandoah Dr, Carrollton, TX 75007-5435 Ph: (972) 294-9642	Dr Tamikia Latray Prunty, DC 1930 E Rosemeade Pkwy Ste 204, Carrollton, TX 75007-2468 Ph: (972) 395-9350

Reviews and Comments

Chiropractor in Carrollton, TX

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Dr Tamikia Latray Prunty, DC - Medicare Chiropractor in Carrollton, TX