Dr Jeffery Randall Pruitt, MD is a medicare enrolled "Hospitalist" physician in Edmond, Oklahoma. His current practice location is
One S Bryant Ave, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 359-5370.
Dr Jeffery Randall Pruitt is licensed to practice in Oklahoma (license number 23454) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497803860.
Physician's Profile
| Full Name | Dr Jeffery Randall Pruitt |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | One S Bryant Ave, Edmond, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeffery Randall Pruitt attended and graduated from in
NPI Data:
- NPI Number: 1497803860
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 06/29/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jeffery Randall Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497803860 | NPI | - | NPPES |
| 200108630A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 23454 (Oklahoma) | Secondary |
| 208M00000X | Hospitalist | 23454 (Oklahoma) | Primary |
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 Jeffery Randall 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 Jeffery Randall Pruitt, MD
1 S Bryant Ave,
Edmond, OK 73034-6309
Ph: (405) 359-5370 | Dr Jeffery Randall Pruitt, MD
One S Bryant Ave,
Edmond, OK 73034-6309
Ph: (405) 359-5370 |
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