Dr Jeffery Randall Pruitt, MD is a medicare enrolled "Hospitalist" physician in Edmond, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mercy Clinic Oklahoma Communities and 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 | Internal Medicine |
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| Experience | 22 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 University Of Oklahoma College Of Medicine in 2003
NPI Data:
- NPI Number: 1497803860
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 06/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 2668579277
- Enrollment ID: I20070516000143
Medical Identifiers
Medical identifiers for Dr Jeffery Randall Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497803860 | NPI | - | NPPES |
| 200108630A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 23454 (Oklahoma) | Secondary |
| 208M00000X | Hospitalist | 23454 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
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 Jeffery Randall Pruitt allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Oklahoma Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386874550
PECOS PAC ID: 1153468921
Enrollment ID: O20091027000755 |
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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 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 |
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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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