| Mark A Pruitt, FNP | |
|
101 Doctors Park, Galax, VA 24333-2277 | |
| (541) 632-4050 | |
| (276) 883-6232 |
| Full Name | Mark A Pruitt |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 28 Years |
| Location | 101 Doctors Park, Galax, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437144938 | NPI | - | NPPES |
| 3902626 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024178316 (Virginia) | Primary |
| 363L00000X | Nurse Practitioner | 7012 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hope Medical Clinic | 5496139735 | 3 |
| 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 101 Doctors Park, Galax, VA 24333-2277 Ph: (276) 595-8921 | Mark A Pruitt, FNP 101 Doctors Park, Galax, VA 24333-2277 Ph: (541) 632-4050 |
Linda Marie Radford-goad, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Doctors Park, Galax, VA 24333 Phone: 276-236-2947 | |
Mrs. Ashley Nicole Underwood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 199 Hospital Dr, Galax, VA 24333 Phone: 276-236-5181 Fax: 276-236-3297 | |
Sarah E. Simerly, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Hospital Dr, Galax, VA 24333 Phone: 276-236-8181 | |
Carrie Sizemore Hall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Cranberry Rd Ste 200a, Galax, VA 24333 Phone: 276-236-9953 | |
Meagan Underwood Crowder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Doctors Park, Galax, VA 24333 Phone: 276-236-5161 | |
Jenell Joines, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Maroon Tide Dr, Galax, VA 24333 Phone: 888-908-4788 Fax: 276-398-3331 | |
Gil Pamittan Binarao Jr., NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1102 E Stuart Dr, Galax, VA 24333 Phone: 276-236-4263 |