Dr Timothy Michael Pruitt, DNP in Southaven, MS

Dr Timothy Michael Pruitt, DNP is a medicare enrolled "Nurse Practitioner" in Southaven, Mississippi. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Emergency Physicians Llc, Hospital Medicine Services Of Tennessee Pc, Southeastern Emergency Physicians Llc, Emergency Coverage Llc, Emergency Coverage Services Pc, Southeastern Intensivist Services Pc and his current practice location is 7601 Southcrest Pkwy, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 772-4200.

Dr Timothy Michael Pruitt is licensed to practice in Mississippi (license number 893878) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295738706.

Contact Information

	Dr Timothy Michael Pruitt, DNP
	7601 Southcrest Pkwy, Southaven, MS 38671
	(662) 772-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Timothy Michael Pruitt
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	7601 Southcrest Pkwy, Southaven, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy Michael Pruitt graduated from nursing school in 2019

NPI Data:

NPI Number: 1295738706
Provider Enumeration Date: 05/30/2005
Last Update Date: 05/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9931131943
Enrollment ID: I20050912000344

Medical Identifiers

Medical identifiers for Dr Timothy Michael Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295738706	NPI	-	NPPES
136263758	Medicaid	AR
08379272	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	19099 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	A001384 (Arkansas)	Secondary
363L00000X	Nurse Practitioner	19099 (Tennessee)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	893878 (Mississippi)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	A001384 (Arkansas)	Secondary
363L00000X	Nurse Practitioner	893878 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Georgetown Community Hospital	Georgetown, KY	Hospital
Twin County Regional Hospital	Galax, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Llc	2466364997	516
Hospital Medicine Services Of Tennessee Pc	9234432881	141
Southeastern Emergency Physicians Llc	2466364997	516
Emergency Coverage Llc	3072412592	391
Emergency Coverage Services Pc	8820983430	48
Southeastern Intensivist Services Pc	9335152107	210

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. Dr Timothy Michael Pruitt allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201

Entity Name	Southeastern Emergency Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20070301000532

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. Dr Timothy Michael 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
Dr Timothy Michael Pruitt, DNP 2631 Itasca Dr, Nesbit, MS 38651-9137 Ph: (502) 810-4146	Dr Timothy Michael Pruitt, DNP 7601 Southcrest Pkwy, Southaven, MS 38671 Ph: (662) 772-4200

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Dr Timothy Michael Pruitt, DNP - Medicare Nurse Practitioner in Southaven, MS