Ciara Pruitt, in Berea, OH - Medicare Nurse Practitioner

Ciara Pruitt, is a medicare enrolled "Nurse Practitioner - Family" in Berea, Ohio. Her current practice location is 255 Front St, Berea, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 523-9966.

Ciara Pruitt is licensed to practice in Ohio (license number APRN.CNP.020801) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053847608.

Contact Information

	Ciara Pruitt,
	255 Front St, Berea, OH 44017-1943
	(440) 523-9966
	(216) 584-2895

Map and Direction

Provider's Profile

Full Name	Ciara Pruitt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	255 Front St, Berea, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053847608
Provider Enumeration Date: 05/02/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5890066633
Enrollment ID: I20170811002767

Medical Identifiers

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

Identifier	Type	State	Issuer
1053847608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.020801 (Ohio)	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. Ciara Pruitt allows following entities to bill medicare on her behalf.

Entity Name	Stafford Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679542021 PECOS PAC ID: 4486678901 Enrollment ID: O20060123000759

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. Ciara 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
Ciara Pruitt, 20265 Emery Rd, North Randall, OH 44128-4122 Ph: (440) 523-9966	Ciara Pruitt, 255 Front St, Berea, OH 44017-1943 Ph: (440) 523-9966

Reviews and Comments

Nurse Practitioner Nurses in Berea, OH

Jessica Shattuck, APRN-CNM, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Slippery Rock Ln, Berea, OH 44017 Phone: 440-610-3710
Amanda Cafarelli De Leon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 563 W Bagley Rd, Berea, OH 44017 Phone: 440-234-8455
Miss Tara Mcclure, CN-P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Slippery Rock Ln, Berea, OH 44017 Phone: 216-544-0652
Lauren Ethel Bara, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 Eastland Rd, Berea, OH 44017 Phone: 440-826-2178 Fax: 440-826-3382
Tyecia Stevens, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 398 W Bagley Rd Ste 12, Berea, OH 44017 Phone: 216-340-0005
Keara Robertson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 W Bagley Rd, Berea, OH 44017 Phone: 440-298-8007

Ciara Pruitt, - Medicare Nurse Practitioner in Berea, OH