Dr Alicia C Pruitt, RN DNP ENP is a medicare enrolled "Nurse Practitioner - Family" physician in Albuquerque, New Mexico. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Optumcare New Mexico Llc and her current practice location is
2901 Transport St Se, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 262-7110.
Dr Alicia C Pruitt is licensed to practice in New Mexico (license number CNP-01843) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366436321.
Physician's Profile
Full Name | Dr Alicia C Pruitt |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 25 Years |
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Location | 2901 Transport St Se, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Alicia C Pruitt graduated from medical school in 1999
NPI Data:
- NPI Number: 1366436321
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244381598
- Enrollment ID: I20111111000447
Medical Identifiers
Medical identifiers for Dr Alicia C Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366436321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | CNP-01843 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP-01843 (New Mexico) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Optumcare New Mexico Llc | 9032125810 | 66 |
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 Alicia C Pruitt allows following entities to bill medicare on her behalf.
Entity Name | Optumcare New Mexico Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124053210 PECOS PAC ID: 9032125810 Enrollment ID: O20060302000704 |
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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 Alicia C 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 |
Dr Alicia C Pruitt, RN DNP ENP Po Box 26028, Albuquerque, NM 87125-6028 Ph: () - | Dr Alicia C Pruitt, RN DNP ENP 2901 Transport St Se, Albuquerque, NM 87106-4382 Ph: (505) 262-7110 |
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