| Mark A Pruitt, FNP | |
|
2690 May St Ste 102, Hood River, OR 97031-9786 | |
| (541) 632-4050 | |
| (888) 377-4656 |
| Full Name | Mark A Pruitt |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 2690 May St Ste 102, Hood River, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437144938 | NPI | - | NPPES |
| 3902626 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 200850048NP (Oregon) | Primary |
| 363L00000X | Nurse Practitioner | RN121028 (Tennessee) | Secondary |
| Entity Name | Abingdon Ear Nose & Throat Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225145477 PECOS PAC ID: 3971674656 Enrollment ID: O20080624000610 |
| Entity Name | Hope Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477283612 PECOS PAC ID: 5496139735 Enrollment ID: O20220906000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Pruitt, FNP 1790 May St, Suite A, Hood River, OR 97031-1369 Ph: (541) 632-4050 | Mark A Pruitt, FNP 2690 May St Ste 102, Hood River, OR 97031-9786 Ph: (541) 632-4050 |
Mary Glenda Comeaux-fortier, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 570 Toms Dr, Hood River, OR 97031 Phone: 541-386-1644 | |
Stefanie E Casey, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1108 June St, Hood River, OR 97031 Phone: 541-387-6125 | |
Mrs. Megan J. Barton, APRN-BC, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1750 12th St, Hood River, OR 97031 Phone: 541-386-5070 | |
Rachel Perrelli Beach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 849 Pacific Ave, Hood River, OR 97031 Phone: 541-386-6380 Fax: 541-386-1078 | |
Mrs. Elisabeth Regan Curry, FNP; PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 814 13th St, Hood River, OR 97031 Phone: 541-387-6138 Fax: 541-387-6148 | |
Mrs. Rebecca Barrett Rawson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 902 12th St, Hood River, OR 97031 Phone: 541-386-1818 Fax: 541-386-3225 |