Laterica D Pruitt, FNP in Fort Worth, TX - Medicare Nurse Practitioner

Laterica D Pruitt, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 801 7th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-4000.

Laterica D Pruitt is licensed to practice in Texas (license number AP1054625) 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 1225618655.

Contact Information

	Laterica D Pruitt, FNP
	801 7th Ave, Fort Worth, TX 76104-2796
	(682) 885-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Laterica D Pruitt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	801 7th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225618655
Provider Enumeration Date: 04/09/2021
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 1355784976
Enrollment ID: I20240209002634

Medical Identifiers

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

Identifier	Type	State	Issuer
1225618655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP1054625 (Texas)	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. Laterica D Pruitt allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Laterica D 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
Laterica D Pruitt, FNP Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Laterica D Pruitt, FNP 801 7th Ave, Fort Worth, TX 76104-2796 Ph: (682) 885-4000

Reviews and Comments

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Laterica D Pruitt, FNP - Medicare Nurse Practitioner in Fort Worth, TX