Dr Jack B Pruett, MD in Jasper, AL - Medicare Emergency Medicine

Dr Jack B Pruett, MD is a medicare enrolled "Emergency Medicine" physician in Jasper, Alabama. His current practice location is 1800 Birmingham Ave, Jasper, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 384-4585.

Dr Jack B Pruett is licensed to practice in Mississippi (license number 12412) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427002369.

Contact Information

	Dr Jack B Pruett, MD
	1800 Birmingham Ave, Jasper, AL 35501-5461
	(205) 384-4585
	(205) 384-4428

Map and Direction

Physician's Profile

Full Name	Dr Jack B Pruett
Gender	Male
Speciality	Emergency Medicine
Location	1800 Birmingham Ave, Jasper, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427002369
Provider Enumeration Date: 05/22/2006
Last Update Date: 10/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7719949460
Enrollment ID: I20131203000974

Medical Identifiers

Medical identifiers for Dr Jack B Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427002369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	12412 (Mississippi)	Primary
208600000X	Surgery	12412 (Mississippi)	Secondary

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 Jack B Pruett allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Community Hospital, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497213482 PECOS PAC ID: 8224354618 Enrollment ID: O20190605001797

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 Jack B Pruett 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 Jack B Pruett, MD 1800 Birmingham Ave, Jasper, AL 35501-5461 Ph: (205) 384-4585	Dr Jack B Pruett, MD 1800 Birmingham Ave, Jasper, AL 35501-5461 Ph: (205) 384-4585

Reviews and Comments

Emergency Medicine Doctors in Jasper, AL

Kayela Norris, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4000
Dr. Dean Robert Naden, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2708 Highway 78 East, Jasper, AL 35501 Phone: 205-387-2253 Fax: 205-387-2253
Dr. Thomas Lee Arnold Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2708 Highway 78 East, Jasper, AL 35501 Phone: 205-387-2253 Fax: 205-387-2405
Dr. Nigel Frederick Palmer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Highway 78 E, Jasper, AL 35501 Phone: 205-387-4187 Fax: 205-387-4727

Dr Jack B Pruett, MD - Medicare Emergency Medicine in Jasper, AL