Dr Jon Davis Pruett, MD in Dallas, TX

Dr Jon Davis Pruett, MD is a medicare enrolled "Dermatology" physician in Dallas, Texas. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Revival Dermatology Pllc and his current practice location is 8201 Preston Rd Ste 440, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 675-3227.

Dr Jon Davis Pruett is licensed to practice in Louisiana (license number MD.15367R) 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 1023071933.

Contact Information

	Dr Jon Davis Pruett, MD
	8201 Preston Rd Ste 440, Dallas, TX 75225-6209
	(214) 675-3227
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jon Davis Pruett
Gender	Male
Speciality	Dermatology
Experience	22 Years
Location	8201 Preston Rd Ste 440, Dallas, 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.

Medical Education and Training:

Dr Jon Davis Pruett attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2002

NPI Data:

NPI Number: 1023071933
Provider Enumeration Date: 04/11/2006
Last Update Date: 02/17/2022

Medicare PECOS Information:

PECOS PAC ID: 8628171808
Enrollment ID: I20070308000071

Medical Identifiers

Medical identifiers for Dr Jon Davis Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023071933	NPI	-	NPPES
8AG440	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD.15367R (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revival Dermatology Pllc	7113321167	3

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 Jon Davis Pruett allows following entities to bill medicare on his behalf.

Entity Name	Oliver Street 5.01(a) Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189

Entity Name	Revival Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679149702 PECOS PAC ID: 7113321167 Enrollment ID: O20210812001699

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 Jon Davis 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 Jon Davis Pruett, MD 8201 Preston Rd Ste 440, Dallas, TX 75225-6209 Ph: (214) 675-3227	Dr Jon Davis Pruett, MD 8201 Preston Rd Ste 440, Dallas, TX 75225-6209 Ph: (214) 675-3227

Reviews and Comments

Dermatology Doctors in Dallas, TX

Titilola Sode, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-590-8000
Dr. Daniel D. Witheiler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1411 N Beckley Ave, Pavilion Iii, Suite 470, Dallas, TX 75203 Phone: 214-941-7546 Fax: 214-941-2442
Dr. Lynne Jeanine Roberts, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8144 Walnut Hill Ln, Ste 360, Dallas, TX 75231 Phone: 469-232-9300 Fax: 469-232-9850
Patrick Henry Mcdonough, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6162 E Mockingbird Ln, Suite 120, Dallas, TX 75214 Phone: 214-463-8328
Juliet F Gibson, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8144 Walnut Hill Ln Ste 1300, Dallas, TX 75231 Phone: 214-420-7070 Fax: 214-420-7380
Dr. Martin Alan Menter, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3900 Junius St, Suite 145, Dallas, TX 75246 Phone: 972-386-7546 Fax: 972-701-8008

Dr Jon Davis Pruett, MD - Medicare Dermatology in Dallas, TX