Lindsey M Pruyn, PA is a medicare enrolled "Physician Assistant - Medical" in Sisters, Oregon. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Charles Health System Inc and her current practice location is
630 N Arrowleaf Trl, Sisters, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 549-1318.
Lindsey M Pruyn is licensed to practice in Idaho (license number PA462) 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 1699755512.
Provider's Profile
| Full Name | Lindsey M Pruyn |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 630 N Arrowleaf Trl, Sisters, Oregon |
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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:
- Lindsey M Pruyn graduated from nursing school in 2003
NPI Data:
- NPI Number: 1699755512
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 07/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042239451
- Enrollment ID: I20220624000288
Medical Identifiers
Medical identifiers for Lindsey M Pruyn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699755512 | NPI | - | NPPES |
| PAUZ8 | Other | ID | BLUE CROSS |
| 80708500 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA-462 (Idaho) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA462 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Charles Health System Inc | 8729111513 | 210 |
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. Lindsey M Pruyn 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 |
|---|
Lindsey M Pruyn, PA
Po Box 1647,
Idaho Falls, ID 83403-1647
Ph: (208) 535-4130 | Lindsey M Pruyn, PA
630 N Arrowleaf Trl,
Sisters, OR 97759-2610
Ph: (541) 549-1318 |
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