Douglas Pruitt, CRNA in Elkhart, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Douglas Pruitt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 1988 and has 36 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Community Health Center Of Branch County, Beacon Medical Group Inc, Associated Anesthesiologists Of Fort Wayne, Pc and his current practice location is 600 East Blvd, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 524-8130.

Douglas Pruitt is licensed to practice in Indiana (license number 28155497A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366493579.

Contact Information

	Douglas Pruitt, CRNA
	600 East Blvd, Elkhart, IN 46514-2483
	(574) 524-8130
	(574) 524-8138

Map and Direction

Provider's Profile

Full Name	Douglas Pruitt
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	36 Years
Location	600 East Blvd, Elkhart, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Douglas Pruitt graduated from nursing school in 1988

NPI Data:

NPI Number: 1366493579
Provider Enumeration Date: 05/12/2006
Last Update Date: 01/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2961301551
Enrollment ID: I20040102000437

Medical Identifiers

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

Identifier	Type	State	Issuer
1366493579	NPI	-	NPPES
200047710	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28162626 (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	28155497A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elkhart General Hospital	Elkhart, IN	Hospital
Promedica Coldwater Regional Hospital	Coldwater, MI	Hospital
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Center Of Branch County	9335037514	47
Beacon Medical Group Inc	1254243306	444
Associated Anesthesiologists Of Fort Wayne, Pc	2264412444	103

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

Entity Name	Huron Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518991744 PECOS PAC ID: 6800709221 Enrollment ID: O20031111000786

Entity Name	Community Health Center Of Branch County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124055009 PECOS PAC ID: 9335037514 Enrollment ID: O20040309000671

Entity Name	West Michigan Aas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295149227 PECOS PAC ID: 9931324076 Enrollment ID: O20140707000372

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. Douglas 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
Douglas Pruitt, CRNA 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129	Douglas Pruitt, CRNA 600 East Blvd, Elkhart, IN 46514-2483 Ph: (574) 524-8130

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514 Phone: 574-522-9922
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463

Douglas Pruitt, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN