| Jenny M Pruitt, PA | |
|
58 Carroll St, Room 2037, Lebanon, VA 24266 | |
| (276) 883-8062 | |
| (276) 883-8064 |
| Full Name | Jenny M Pruitt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 58 Carroll St, Lebanon, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528249133 | NPI | - | NPPES |
| Q013872 | Medicaid | TN | |
| 1528249133 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110002659 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Russell County Hospital | Lebanon, VA | Hospital |
| Johnston Memorial Hospital | Abingdon, VA | Hospital |
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Ridge Medical Management Corporation | 9739099441 | 280 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny M Pruitt, PA 58 Carroll St, Room 2037, Lebanon, VA 24266 Ph: (276) 883-8062 | Jenny M Pruitt, PA 58 Carroll St, Room 2037, Lebanon, VA 24266 Ph: (276) 883-8062 |
Wiley R Kent Ii, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 912 W Main St, Lebanon, VA 24266 Phone: 276-880-0211 Fax: 276-880-0213 | |
Kelsey Wise Mccoy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll Street, Lebanon, VA 24266 Phone: 276-883-8000 | |
Mrs. Rachel Gilmer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 | |
Helen M Moore, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 58 Carroll St, Suite 4, Lebanon, VA 24266 Phone: 276-883-8070 Fax: 276-883-8075 |