Donald L Pruitt, MD | |
12855 North Forty Drive, Suite 125, St Louis, MO 63141 | |
(314) 966-0111 | |
(314) 966-1023 |
Full Name | Donald L Pruitt |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 45 Years |
Location | 12855 North Forty Drive, St Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659366284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | R5H33 (Missouri) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | R5H33 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital St Louis | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Surgical Specialists Llc | 1153455076 | 135 |
Entity Name | Mercy Clinic Surgical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043530538 PECOS PAC ID: 1153455076 Enrollment ID: O20100813001038 |
Mailing Address | Practice Location Address |
---|---|
Donald L Pruitt, MD 12813 Flushing Meadows Drive, Suite 210, St. Louis, MO 63131 Ph: (314) 966-0111 | Donald L Pruitt, MD 12855 North Forty Drive, Suite 125, St Louis, MO 63141 Ph: (314) 966-0111 |
James C. Strickland, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12855 North Forty Drive, Suite 125, St Louis, MO 63141 Phone: 314-966-0111 Fax: 314-966-1023 | |
Scott Geoffrey Kaar, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: U21 S. New Ballas Rd, Ste 3005 B, St Louis, MO 63141 Phone: 314-251-7074 | |
Mr. Mitchell M Mirbaha, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9815 Mackenzie Road, St Louis, MO 63123 Phone: 314-638-8785 Fax: 314-638-8788 | |
Donald Wade Hammond Ii, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12855 North Forty Drive, Suite 125, St Louis, MO 63141 Phone: 314-966-0111 Fax: 314-966-1023 | |
Matthew David Collard, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2325 Dougherty Ferry Road, Suite 100, St Louis, MO 63122 Phone: 314-909-1359 Fax: 314-909-1370 | |
Ryan W. Couchman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12855 North Forty Drive, Suite 125, St Louis, MO 63141 Phone: 314-966-0111 Fax: 314-966-1023 |