Caleb Lawrence Pruitt, is a medicare enrolled "Anesthesiology" physician in Sikeston, Missouri. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Missouri Delta Medical Center and his current practice location is
1008 N Main St, Sikeston, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 380-2407.
Caleb Lawrence Pruitt is licensed to practice in Missouri (license number 2018027462) 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 1598429482.
Physician's Profile
| Full Name | Caleb Lawrence Pruitt |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 3 Years |
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| Location | 1008 N Main St, Sikeston, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Caleb Lawrence Pruitt graduated from medical school in 2023
NPI Data:
- NPI Number: 1598429482
- Provider Enumeration Date: 10/26/2021
- Last Update Date: 12/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163954082
- Enrollment ID: I20241017000335
Medical Identifiers
Medical identifiers for Caleb Lawrence Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598429482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 2018027462 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Missouri Delta Medical Center | 1355252891 | 128 |
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. Caleb Lawrence Pruitt allows following entities to bill medicare on his behalf.
| Entity Name | Missouri Delta Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
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| Entity Name | Resource Anesthesiology Associates Of Mo Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396116521 PECOS PAC ID: 0042514150 Enrollment ID: O20160210002213 |
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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. Caleb Lawrence 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 |
Caleb Lawrence Pruitt, 614 Thornwood Ave, Sikeston, MO 63801-4687 Ph: (573) 380-2407 | Caleb Lawrence Pruitt, 1008 N Main St, Sikeston, MO 63801-5044 Ph: (573) 380-2407 |
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