Douglas Pruitt, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN

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Douglas Pruitt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 1988 and has 36 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Community Health Center Of Branch County, Associated Anesthesiologists Of Fort Wayne, Pc, Beacon Medical Group Inc and his current practice location is 600 East Blvd, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 524-8130.

Douglas Pruitt is licensed to practice in Indiana (license number 28155497A) 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 1366493579.

Contact Information

Douglas Pruitt, CRNA
600 East Blvd,
Elkhart, IN 46514-2483
(574) 524-8130
(574) 524-8138

Map and Direction




Provider's Profile

Full NameDouglas Pruitt
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience36 Years
Location600 East Blvd, Elkhart, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Pruitt graduated from nursing school in 1988
  NPI Data:
  • NPI Number: 1366493579
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 01/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961301551
  • Enrollment ID: I20040102000437

Medical Identifiers

Medical identifiers for Douglas Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366493579NPI-NPPES
200047710MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28162626 (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 28155497A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elkhart General HospitalElkhart, INHospital
Promedica Coldwater Regional HospitalColdwater, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Center Of Branch County933503751439
Associated Anesthesiologists Of Fort Wayne, Pc2264412444102
Beacon Medical Group Inc1254243306452

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. Douglas Pruitt allows following entities to bill medicare on his behalf.
Entity NameHuron Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518991744
PECOS PAC ID: 6800709221
Enrollment ID: O20031111000786
Entity NameCommunity Health Center Of Branch County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124055009
PECOS PAC ID: 9335037514
Enrollment ID: O20040309000671
Entity NameWest Michigan Aas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295149227
PECOS PAC ID: 9931324076
Enrollment ID: O20140707000372

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. Douglas 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 AddressPractice Location Address
Douglas Pruitt, CRNA
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-2129		Douglas Pruitt, CRNA
600 East Blvd,
Elkhart, IN 46514-2483

Ph: (574) 524-8130

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514
Phone: 574-522-9922    
Mark Mcpherson, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    
Ms. Barbara Ann Doherty, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516
Phone: 574-522-9922    Fax: 574-522-9926
Naznin Lalani, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514
Phone: 574-522-9922    
Joshua Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-294-2621    
Lindsay Vasil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516
Phone: 574-523-3193    
Denise Christine Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    Fax: 574-523-3463

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.