| Dr Andrew Lee Pruitt, MD | |
|
5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8633 | |
| (734) 712-5500 | |
| (734) 712-8209 |
| Full Name | Dr Andrew Lee Pruitt |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 35 Years |
| Location | 5325 Elliott Dr, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750377206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | AP070330 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Home Care, Ann Arbor | Farmington hills, MI | Home health agency |
| St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
| Saint Joseph Mercy Livingston Hospital | Howell, MI | Hospital |
| St Joe Mercy Hospital System Livonia | Livonia, MI | Hospital |
| St Joseph Mercy Chelsea | Chelsea, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Health Services Corporation | 2466351440 | 1033 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Lee Pruitt, MD 5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8633 Ph: (734) 712-5500 | Dr Andrew Lee Pruitt, MD 5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8633 Ph: (734) 712-5500 |
Dr. Bobby Kipak Kong, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 5325 Elliott Dr, Suite # 102, Ypsilanti, MI 48197 Phone: 734-712-5500 Fax: 734-712-8209 | |
Dr. Melanie Andene Edwards, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5325 Elliott Dr Ste 102, Ypsilanti, MI 48197 Phone: 734-712-5500 Fax: 734-712-8209 | |
Mr. Jake James Chantos, PA-C Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Dr. Manak Sood, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197 Phone: 734-712-5500 Fax: 734-712-8209 |