Farad Keith Pruitt, MD | |
205 N East Ave, Jackson, MI 49201-1753 | |
(517) 841-1328 | |
(517) 841-1320 |
Full Name | Farad Keith Pruitt |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 25 Years |
Location | 205 N East Ave, Jackson, Michigan |
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 |
---|---|---|---|
1912959826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301074892 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
Saint Joseph Mercy Livingston Hospital | Howell, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iha Health Services Corporation | 2466351440 | 945 |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
---|---|
Farad Keith Pruitt, MD Po Box 67000, Department 272801, Detroit, MI 48267-2728 Ph: (517) 841-6913 | Farad Keith Pruitt, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 841-1328 |
James Brown Chauncey Iii, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 | |
Mrs. Bharti Sachdev, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 766 W Michigan Ave, Jackson, MI 49201 Phone: 517-784-9910 Fax: 517-787-4404 | |
Dr. Gregory A Naylor, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 N Jackson St, Jackson, MI 49201 Phone: 517-748-5500 Fax: 517-780-9286 | |
Rolando Manalo Beredo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 N Jackson St, Jackson, MI 49201 Phone: 517-788-6336 Fax: 517-788-9035 | |
Essam Y. Tellawi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 | |
Dr. Fadi Alali, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 W Michigan Ave Ste 201, Jackson, MI 49201 Phone: 517-205-7618 Fax: 517-205-7639 | |
Dr. Abdulbaset M. Salim, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-1328 |