Dr Vernon L Pruitt, MD | |
1108 Ross Clark Circle, Dothan, AL 36301 | |
(334) 793-5105 | |
Not Available |
Full Name | Dr Vernon L Pruitt |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 1108 Ross Clark Circle, Dothan, Alabama |
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 |
---|---|---|---|
1912986886 | NPI | - | NPPES |
051518440 | Medicaid | AL | |
420979327A | Other | GEORGIA MEDICAID | |
51518440 | Other | BCBS OF ALABAMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 00025583 (Alabama) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 00025583 (Alabama) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Consultants Medical Group Pc | 8628975935 | 12 |
Entity Name | Anesthesia Consultants Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902885874 PECOS PAC ID: 8628975935 Enrollment ID: O20031216000012 |
Entity Name | Southern Alabama Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
Mailing Address | Practice Location Address |
---|---|
Dr Vernon L Pruitt, MD 1118 Ross Clark Circle, Anesthesia Consultants Medical Group Pc Ste 700, Dothan, AL 36301 Ph: (334) 793-5105 | Dr Vernon L Pruitt, MD 1108 Ross Clark Circle, Dothan, AL 36301 Ph: (334) 793-5105 |
David Tyler Warren, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Kyle Morris Jones, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Stephen L Hughes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Anesthesia Dept, Dothan, AL 36305 Phone: 334-794-5000 | |
Dr. Steven H Sykes, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Circle, Ste 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Jeremy Bernard Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Dr. Jeffrey S Graham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Circle, Suite 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Matthew T Jennings, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 |