Lisa Ann Guidry Pruett, MD in Dallas, TX

Lisa Ann Guidry Pruett, MD is a medicare enrolled "Dermatology" physician in Dallas, Texas. She went to Louisiana State University School Of Medicine In New Orleans and graduated in 2003 and has 21 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Revival Dermatology Pllc and her current practice location is 8201 Preston Rd Ste 440, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 675-3227.

Lisa Ann Guidry Pruett is licensed to practice in Texas (license number N3700) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356367106.

Contact Information

	Lisa Ann Guidry Pruett, MD
	8201 Preston Rd Ste 440, Dallas, TX 75225-6209
	(214) 675-3227
	(972) 435-4481

Map and Direction

Physician's Profile

Full Name	Lisa Ann Guidry Pruett
Gender	Female
Speciality	Dermatology
Experience	21 Years
Location	8201 Preston Rd Ste 440, Dallas, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Ann Guidry Pruett attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2003

NPI Data:

NPI Number: 1356367106
Provider Enumeration Date: 07/14/2006
Last Update Date: 02/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5092806018
Enrollment ID: I20091005000770

Medical Identifiers

Medical identifiers for Lisa Ann Guidry Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356367106	NPI	-	NPPES
1065331	Medicaid	LA
04158761	Medicaid	MS
06533	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD026450 (Louisiana)	Secondary
207N00000X	Dermatology	026450 (Louisiana)	Secondary
207N00000X	Dermatology	N3700 (Texas)	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. Lisa Ann Guidry Pruett allows following entities to bill medicare on her 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. Lisa Ann Guidry 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
Lisa Ann Guidry Pruett, MD 8201 Preston Rd Ste 440, Dallas, TX 75225-6209 Ph: (214) 675-3227	Lisa Ann Guidry 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. Jon Davis Pruett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8201 Preston Rd Ste 440, Dallas, TX 75225 Phone: 214-675-3227
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

Lisa Ann Guidry Pruett, MD - Medicare Dermatology in Dallas, TX