Mrs Angela Pruitt Durham, NP in Atlanta, GA - Medicare Nurse Practitioner

Mrs Angela Pruitt Durham, NP is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Crestwood Physician Services, Llc and her current practice location is 1800 Howell Mill Rd Nw, Suite 800, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 350-9853.

Mrs Angela Pruitt Durham is licensed to practice in Georgia (license number RN180719NP) 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 1699862474.

Contact Information

	Mrs Angela Pruitt Durham, NP
	1800 Howell Mill Rd Nw, Suite 800, Atlanta, GA 30318-2538
	(404) 350-9853
	(404) 350-8407

Map and Direction

Provider's Profile

Full Name	Mrs Angela Pruitt Durham
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	1800 Howell Mill Rd Nw, Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Angela Pruitt Durham graduated from nursing school in 1998

NPI Data:

NPI Number: 1699862474
Provider Enumeration Date: 10/05/2006
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6204950033
Enrollment ID: I20181121000674

Medical Identifiers

Medical identifiers for Mrs Angela Pruitt Durham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699862474	NPI	-	NPPES
51046579DUR	Other	AL	BCBS PROVIDER NUMBER
DU000046579	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN180719NP (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crestwood Medical Center	Huntsville, AL	Hospital
Huntsville Hospital	Huntsville, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crestwood Physician Services, Llc	3476735648	38

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. Mrs Angela Pruitt Durham allows following entities to bill medicare on her behalf.

Entity Name	Crestwood Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154622520 PECOS PAC ID: 3476735648 Enrollment ID: O20110309000303

Entity Name	Madison Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881993210 PECOS PAC ID: 0042494346 Enrollment ID: O20110412000068

Entity Name	Zaheer A Khan Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346679834 PECOS PAC ID: 1456662832 Enrollment ID: O20150626000207

Entity Name	St Luke Integrative Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184282840 PECOS PAC ID: 3274963798 Enrollment ID: O20200424001871

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. Mrs Angela Pruitt Durham 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
Mrs Angela Pruitt Durham, NP 1958 Saxon Valley Cir Ne, Atlanta, GA 30319-6007 Ph: (404) 417-0176	Mrs Angela Pruitt Durham, NP 1800 Howell Mill Rd Nw, Suite 800, Atlanta, GA 30318-2538 Ph: (404) 350-9853

Reviews and Comments

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Mrs Angela Pruitt Durham, NP - Medicare Nurse Practitioner in Atlanta, GA