Mark Pruitt, DO in Bonners Ferry, ID - Medicare Emergency Medicine

Mark Pruitt, DO is a medicare enrolled "Emergency Medicine" physician in Bonners Ferry, Idaho. His current practice location is 6640 Kaniksu St, Bonners Ferry, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 267-3141.

Mark Pruitt is licensed to practice in Idaho (license number O-1105) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124432943.

Contact Information

	Mark Pruitt, DO
	6640 Kaniksu St, Bonners Ferry, ID 83805
	(208) 267-3141
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Pruitt
Gender	Male
Speciality	Emergency Medicine
Location	6640 Kaniksu St, Bonners Ferry, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124432943
Provider Enumeration Date: 06/19/2014
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 2466741665
Enrollment ID: I20180202001754

Medical Identifiers

Medical identifiers for Mark Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124432943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	O-1105 (Idaho)	Primary

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. Mark Pruitt allows following entities to bill medicare on his behalf.

Entity Name	Pend Oreille County Public Hospital District No 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017

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. Mark Pruitt 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
Mark Pruitt, DO 6640 Kaniksu St, Bonners Ferry, ID 83805-7532 Ph: (208) 267-3141	Mark Pruitt, DO 6640 Kaniksu St, Bonners Ferry, ID 83805 Ph: (208) 267-3141

Reviews and Comments

Emergency Medicine Doctors in Bonners Ferry, ID

Robert Yost, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Boundar Community Hospital, Bonners Ferry, ID 83805 Phone: 208-267-3141
William Lamont Worden, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202
Stuart Kendall Willis Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-4850 Fax: 208-267-2202
Dr. Edward Gregory Moellmer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202
Dr. Kenton Bing-hock Goh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6640 Kaniksu St, Bonners Ferry, ID 83805 Phone: 208-267-3141 Fax: 208-267-2202

Mark Pruitt, DO - Medicare Emergency Medicine in Bonners Ferry, ID