Dr Benjamin James Pruett, DO - Medicare Interventional Radiology in Fresno, CA

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Dr Benjamin James Pruett, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Fresno, California. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Forefront Radiology Medical Group Pc and his current practice location is 6191 N Thesta St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 436-4737.

Dr Benjamin James Pruett is licensed to practice in California (license number 20A14838) 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 1194036624.

Contact Information

Dr Benjamin James Pruett, DO
6191 N Thesta St,
Fresno, CA 93710-5266
(559) 436-4737
(559) 436-4738

Map and Direction




Physician's Profile

Full NameDr Benjamin James Pruett
GenderMale
SpecialityInterventional Radiology
Experience14 Years
Location6191 N Thesta St, Fresno, California
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:
  • Dr Benjamin James Pruett graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1194036624
  • Provider Enumeration Date: 06/30/2010
  • Last Update Date: 04/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921314725
  • Enrollment ID: I20161202001632

Medical Identifiers

Medical identifiers for Dr Benjamin James Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194036624NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5101018915 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (Virginia)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 20A14838 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Agnes Medical CenterFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forefront Radiology Medical Group Pc397193685725

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. Dr Benjamin James Pruett allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NameWishon Radiological Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528012168
PECOS PAC ID: 8022065036
Enrollment ID: O20050401000439
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameVallejo Open Mri Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164478277
PECOS PAC ID: 9133132046
Enrollment ID: O20060719000128
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598
Entity NameSaint Agnes Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558819482
PECOS PAC ID: 7618946369
Enrollment ID: O20170125002669
Entity NameForefront Radiology Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689232449
PECOS PAC ID: 3971936857
Enrollment ID: O20191206001517

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. Dr Benjamin James Pruett 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
Dr Benjamin James Pruett, DO
7473 N Ingram Ave Ste 111,
Fresno, CA 93711-5856

Ph: (559) 272-2934		Dr Benjamin James Pruett, DO
6191 N Thesta St,
Fresno, CA 93710-5266

Ph: (559) 436-4737

Reviews and Comments


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Phone: 559-437-1000    Fax: 559-437-3870

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