Charles L Pruitt, MD | |
401 N Ewing St, Lancaster, OH 43130-3372 | |
(740) 687-8000 | |
(740) 687-8939 |
Full Name | Charles L Pruitt |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 401 N Ewing St, Lancaster, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194706341 | NPI | - | NPPES |
35048030 | Other | OH | OHIO STATE MEDICAL LICENS |
0867807 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35048030 (Ohio) | Primary |
Entity Name | Emergency Medicine Physicians Of Lancaster Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881025344 PECOS PAC ID: 8729216080 Enrollment ID: O20140113000127 |
Mailing Address | Practice Location Address |
---|---|
Charles L Pruitt, MD Po Box 713464, Cincinnati, OH 45271-0001 Ph: (740) 687-8990 | Charles L Pruitt, MD 401 N Ewing St, Lancaster, OH 43130-3372 Ph: (740) 687-8000 |
Dr. Michelle Decoste, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 Fax: 740-687-8357 | |
Robert Javier Dominguez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 784 E Main St, Lancaster, OH 43130 Phone: 740-687-0100 Fax: 740-687-0145 | |
Dr. Sarah Elizabeth Asbridge, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 | |
John P Scott, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 Fax: 740-687-8939 | |
Dr. Kevin Karl Bowman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 N Ewing St, Lancaster, OH 43130 Phone: 740-687-8000 Fax: 740-687-8939 | |
Dr. Steven Dan Kapetansky, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1566 Monmouth Dr Ste 101, Lancaster, OH 43130 Phone: 740-808-8368 Fax: 415-548-2694 |