Teri Pruitt, NP in Acworth, GA - Medicare Nurse Practitioner

Teri Pruitt, NP is a medicare enrolled "Nurse Practitioner - Family" in Acworth, Georgia. Her current practice location is 4900 Ivey Rd Nw Ste 1320, Acworth, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 267-0870.

Teri Pruitt is licensed to practice in Georgia (license number RN160031) 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 1073240206.

Contact Information

	Teri Pruitt, NP
	4900 Ivey Rd Nw Ste 1320, Acworth, GA 30101-4112
	(470) 267-0870
	Not Available

Map and Direction

Provider's Profile

Full Name	Teri Pruitt
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4900 Ivey Rd Nw Ste 1320, Acworth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073240206
Provider Enumeration Date: 08/08/2022
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 6103292321
Enrollment ID: I20221013000223

Medical Identifiers

Medical identifiers for Teri Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073240206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN160031 (Georgia)	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. Teri Pruitt allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Teri 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
Teri Pruitt, NP 58 E Ranchette Rd, Temple, GA 30179-3228 Ph: (770) 597-6600	Teri Pruitt, NP 4900 Ivey Rd Nw Ste 1320, Acworth, GA 30101-4112 Ph: (470) 267-0870

Reviews and Comments

Nurse Practitioner Nurses in Acworth, GA

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Mrs. Attoya Rosier, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4550 Cobb Parkway North Nw Ste 201a, Acworth, GA 30101 Phone: 770-974-4655 Fax: 770-974-1970

Teri Pruitt, NP - Medicare Nurse Practitioner in Acworth, GA