Kristin Pruitt, is a medicare enrolled "Marriage & Family Therapist" provider in Michigan City, Indiana. Her current practice location is
7224 W 400 N, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 879-4621.
Kristin Pruitt is licensed to practice in * (Not Available) (license number ) 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 1285448167.
Healthcare Provider's Profile
| Full Name | Kristin Pruitt |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 7224 W 400 N, Michigan City, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285448167
- Provider Enumeration Date: 02/03/2025
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022548346
- Enrollment ID: I20250214002941
Medical Identifiers
Medical identifiers for Kristin Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285448167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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. Kristin Pruitt allows following entities to bill medicare on her behalf.
| Entity Name | Laporte County Comprehensive Mental Health Council |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295746816 PECOS PAC ID: 3274703046 Enrollment ID: O20110906000052 |
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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. Kristin 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 |
Kristin Pruitt, 7224 W 400 N, Michigan City, IN 46360-2903 Ph: () - | Kristin Pruitt, 7224 W 400 N, Michigan City, IN 46360-2903 Ph: (219) 879-4621 |
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