Elizabeth Inez Pruitt, PA is a medicare enrolled "Physician Assistant" in Tangier, Virginia. She went to University Of Maryland School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Riverside Physician Services Inc and her current practice location is
16186 Main Ridge Road, Tangier, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 891-2412.
Elizabeth Inez Pruitt is licensed to practice in Virginia (license number 0110002506) 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 1184821696.
Provider's Profile
| Full Name | Elizabeth Inez Pruitt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 18 Years |
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| Location | 16186 Main Ridge Road, Tangier, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elizabeth Inez Pruitt attended and graduated from University Of Maryland School Of Medicine in 2006
NPI Data:
- NPI Number: 1184821696
- Provider Enumeration Date: 06/28/2007
- Last Update Date: 02/18/2014
Medicare PECOS Information:
- PECOS PAC ID: 8426158262
- Enrollment ID: I20070710000384
Medical Identifiers
Medical identifiers for Elizabeth Inez Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184821696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0110002506 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Riverside Physician Services Inc | 5092608448 | 738 |
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. Elizabeth Inez 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 |
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Elizabeth Inez Pruitt, PA
856 J Clyde Morris Blvd, Ste A,
Newport News, VA 23601-1318
Ph: () - | Elizabeth Inez Pruitt, PA
16186 Main Ridge Road,
Tangier, VA 23440
Ph: (757) 891-2412 |
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