Dr Enas L Pruitt, MD | |
801 E Whitestone Blvd Ste B, Cedar Park, TX 78613-9040 | |
(512) 259-3467 | |
(512) 406-7303 |
Full Name | Dr Enas L Pruitt |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 801 E Whitestone Blvd Ste B, Cedar Park, Texas |
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 |
---|---|---|---|
1073682472 | NPI | - | NPPES |
208669608 | Other | TX | ARC MEDICAID ROT |
208669609 | Other | TX | ARC MEDICAID TRAVIS |
334450YKXY | Other | TX | MEDICARE WILLIAMSON COUNTY |
208669603 | Medicaid | TX | |
208669604 | Medicaid | TX | |
208669605 | Medicaid | TX | |
334450YKXV | Other | TX | MEDICARE TRAVIS COUNTY |
8CN866 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M3701 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Austin Regional Clinic Pa | 3072507789 | 336 |
Entity Name | Austin Regional Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
Entity Name | Seton Family Of Doctors |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
Mailing Address | Practice Location Address |
---|---|
Dr Enas L Pruitt, MD 4515 Seton Center Pkwy, Suite 215 Credentialing, Austin, TX 78759-5290 Ph: (512) 231-5548 | Dr Enas L Pruitt, MD 801 E Whitestone Blvd Ste B, Cedar Park, TX 78613-9040 Ph: (512) 259-3467 |
Bryan K Morrison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Whitestone Blvd, Bldg C, Cedar Park, TX 78613 Phone: 512-259-3467 Fax: 512-406-7303 | |
Dr. Melissa Jeanine Urrea, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 South Bell Blvd, Suite 104, Cedar Park, TX 78613 Phone: 512-258-1645 Fax: 512-258-2586 | |
Mark D Carlson, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613 Phone: 512-553-1921 | |
Dr. Nkechinyere Udenyi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3240 E Whitestone Blvd Unit 48, Cedar Park, TX 78613 Phone: 510-334-4171 Fax: 859-757-0312 | |
Jasmine Kim Oliveira, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 E Whitestone Blvd, Cedar Park, TX 78613 Phone: 512-260-6100 | |
Dr. Jeremy Douglas Wiseman, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613 Phone: 512-345-8970 Fax: 512-345-6689 |