Susan Pruitt, in Coeur D Alene, ID - Medicare Dietitian, Registered Provider

Susan Pruitt, is a medicare enrolled "Dietitian, Registered" provider in Coeur D Alene, Idaho. Her current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 625-4000.

Susan Pruitt is licensed to practice in Idaho (license number D720) 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 1376967463.

Contact Information

	Susan Pruitt,
	2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
	(208) 625-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Pruitt
Gender	Female
Speciality	Dietitian, Registered
Location	2003 Kootenai Health Way, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376967463
Provider Enumeration Date: 02/10/2014
Last Update Date: 01/29/2016

Medicare PECOS Information:

PECOS PAC ID: 4587980420
Enrollment ID: I20150311002164

Medical Identifiers

Medical identifiers for Susan Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376967463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D720 (Idaho)	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. Susan Pruitt allows following entities to bill medicare on her behalf.

Provider Name	Kootenai Health Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. Susan Pruitt 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
Susan Pruitt, 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000	Susan Pruitt, 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4000

Reviews and Comments

Dietitian, Registered in Coeur D Alene, ID

Scott Geyer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Kimberley S Hall, DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963
Leah Joy, R.D., IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1310 E Birch Ave, Coeur D Alene, ID 83814 Phone: 315-244-0677
Amanda Ament, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782
Marsha A Jones, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963
Katie J Adrian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000 Fax: 208-666-3963
Sarah Renee Nave, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 207, Coeur D Alene, ID 83814 Phone: 208-755-2804 Fax: 208-765-0277

Susan Pruitt, - Medicare Dietitian in Coeur D Alene, ID