Dr Darel Dean Pruett, DO is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Key West, Florida. His current practice location is
1010 Kennedy Dr, Suite 304, Key West, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 296-3334.
Dr Darel Dean Pruett is licensed to practice in Florida (license number OS 0004525) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710900923.
Physician's Profile
| Full Name | Dr Darel Dean Pruett |
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| Gender | Male |
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| Speciality | Dermatology - Procedural Dermatology |
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| Location | 1010 Kennedy Dr, Key West, Florida |
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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: 1710900923
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638128119
- Enrollment ID: I20050124000790
Medical Identifiers
Medical identifiers for Dr Darel Dean Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710900923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207NS0135X | Dermatology - Procedural Dermatology | OS 0004525 (Florida) | 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. Dr Darel Dean Pruett allows following entities to bill medicare on his behalf.
| Entity Name | Dermatology Group Of Florida, P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497806459 PECOS PAC ID: 1153367107 Enrollment ID: O20050630000181 |
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| Entity Name | Key West Dermatology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750396339 PECOS PAC ID: 6800893520 Enrollment ID: O20061023000076 |
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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. Dr Darel Dean 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 Address | Practice Location Address |
Dr Darel Dean Pruett, DO Po Box 1910, Islamorada, FL 33036-1910 Ph: (305) 296-3334 | Dr Darel Dean Pruett, DO 1010 Kennedy Dr, Suite 304, Key West, FL 33040-4134 Ph: (305) 296-3334 |
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