Gina Marie Prunty, in Vienna, WV - Medicare Nurse Practitioner

Gina Marie Prunty, is a medicare enrolled "Nurse Practitioner" in Vienna, West Virginia. Her current practice location is 800 Grand Central Mall, Vienna, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 485-3300.

Gina Marie Prunty is licensed to practice in West Virginia (license number 107648) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205310240.

Contact Information

	Gina Marie Prunty,
	800 Grand Central Mall, Vienna, WV 26105-4100
	(304) 485-3300
	Not Available

Map and Direction

Provider's Profile

Full Name	Gina Marie Prunty
Gender	Female
Speciality	Nurse Practitioner
Location	800 Grand Central Mall, Vienna, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205310240
Provider Enumeration Date: 09/15/2018
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 8123369964
Enrollment ID: I20190404001874

Medical Identifiers

Medical identifiers for Gina Marie Prunty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205310240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	107648 (West Virginia)	Primary

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. Gina Marie Prunty allows following entities to bill medicare on her behalf.

Entity Name	Quality Care Associates Urgent Care And Wellness Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619442837 PECOS PAC ID: 7810237625 Enrollment ID: O20190313003040

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. Gina Marie Prunty 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
Gina Marie Prunty, 800 Grand Central Mall, Vienna, WV 26105-4100 Ph: () -	Gina Marie Prunty, 800 Grand Central Mall, Vienna, WV 26105-4100 Ph: (304) 485-3300

Reviews and Comments

Nurse Practitioner Nurses in Vienna, WV

Carrie Lett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-3331 Fax: 304-295-4924
Pamela J Parker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-4439 Fax: 304-485-6489
Mrs. Christie Watkins Priem, APRN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Grand Central Mall Ste 11, Vienna, WV 26105 Phone: 304-916-1270 Fax: 304-916-1705
Jodi L. Law, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Grand Central Ave Ste 5, Vienna, WV 26105 Phone: 304-422-5600 Fax: 304-422-5993
Tammy L Crookshanks, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-3300 Fax: 304-485-3317
Lilia Ann Underwood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105 Phone: 304-485-4439 Fax: 304-485-6489

Gina Marie Prunty, - Medicare Nurse Practitioner in Vienna, WV