Connor Evan Pruitt, is a
Community Health Worker based in San Francisco, California. Connor Evan Pruitt is licensed to practice in * (Not Available) (license number ) and his current practice location is
1801 Vicente St, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 681-3211.
NPI number for Connor Evan Pruitt is 1922574144 and his current mailing address is 1801 Vicente St, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922574144.
Healthcare Provider's Profile
Full Name | Connor Evan Pruitt |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 1801 Vicente St, San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922574144
- Provider Enumeration Date: 10/15/2018
- Last Update Date: 07/19/2021
Medical Identifiers
Medical identifiers for Connor Evan Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922574144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | 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. Connor Evan Pruitt 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 Address | Practice Location Address |
Connor Evan Pruitt, 1801 Vicente St, San Francisco, CA 94116-2923 Ph: (561) 281-2702 | Connor Evan Pruitt, 1801 Vicente St, San Francisco, CA 94116-2923 Ph: (415) 681-3211 |
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