Dr Jeffrey A Pruitt, MD | |
1400 E 2nd St, Defiance, OH 43512-2440 | |
(419) 784-1414 | |
Not Available |
Full Name | Dr Jeffrey A Pruitt |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 37 Years |
Location | 1400 E 2nd St, Defiance, Ohio |
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 |
---|---|---|---|
1689656696 | NPI | - | NPPES |
0878028 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35062785P (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health - Tiffin Hospital | Tiffin, OH | Hospital |
Mercy Health - Willard Hospital | Willard, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians North Specialty Care Llc | 1951707884 | 305 |
Entity Name | Henry County Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407880909 PECOS PAC ID: 0345141644 Enrollment ID: O20040120000128 |
Entity Name | Mercy Health Physicians-north Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
Entity Name | Mercy Medical Partners Northern Region Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669756532 PECOS PAC ID: 0244407823 Enrollment ID: O20120123000509 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Entity Name | Mercy Medical Partners Northern Region Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730701749 PECOS PAC ID: 9739585480 Enrollment ID: O20210907000836 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey A Pruitt, MD 1400 E 2nd St, Defiance, OH 43512-2440 Ph: (419) 784-1414 | Dr Jeffrey A Pruitt, MD 1400 E 2nd St, Defiance, OH 43512-2440 Ph: (419) 784-1414 |
Dr. John W Shaw, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Dr. Souheil Al-jadda, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Dr. Truman Frederick Weigand Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 Ralston Ave Ste 204, Defiance, OH 43512 Phone: 419-783-6997 Fax: 419-782-6103 | |
Jeffrey Robert Walters, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-784-1414 | |
Joe W Sayre, MD Surgery Medicare: Medicare Enrolled Practice Location: 1250 Ralston Ave, Suite 203, Defiance, OH 43512 Phone: 419-783-6997 Fax: 419-782-6873 | |
Dr. William H. Strawter, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1250 Ralston Ave, Suite 203, Defiance, OH 43512 Phone: 419-783-6997 Fax: 419-782-6103 |