| Dr Enas L Pruitt, MD | |
|
801 E Whitestone Blvd Ste B, Cedar Park, TX 78613-9040 | |
| (512) 259-3467 | |
| (512) 406-7303 |
| Full Name | Dr Enas L Pruitt |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 801 E Whitestone Blvd Ste B, Cedar Park, Texas |
| 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 |
|---|---|---|---|
| 1073682472 | NPI | - | NPPES |
| 208669608 | Other | TX | ARC MEDICAID ROT |
| 208669609 | Other | TX | ARC MEDICAID TRAVIS |
| 334450YKXY | Other | TX | MEDICARE WILLIAMSON COUNTY |
| 208669603 | Medicaid | TX | |
| 208669604 | Medicaid | TX | |
| 208669605 | Medicaid | TX | |
| 334450YKXV | Other | TX | MEDICARE TRAVIS COUNTY |
| 8CN866 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3701 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Regional Clinic Pa | 3072507789 | 346 |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Entity Name | Seton Family Of Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Enas L Pruitt, MD 4515 Seton Center Pkwy, Suite 215 Credentialing, Austin, TX 78759-5290 Ph: (512) 231-5548 | Dr Enas L Pruitt, MD 801 E Whitestone Blvd Ste B, Cedar Park, TX 78613-9040 Ph: (512) 259-3467 |
Bryan K Morrison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Whitestone Blvd, Bldg C, Cedar Park, TX 78613 Phone: 512-259-3467 Fax: 512-406-7303 | |
Dr. Melissa Jeanine Urrea, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 South Bell Blvd, Suite 104, Cedar Park, TX 78613 Phone: 512-258-1645 Fax: 512-258-2586 | |
Mark D Carlson, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613 Phone: 512-553-1921 | |
Dr. Nkechinyere Udenyi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3240 E Whitestone Blvd Unit 48, Cedar Park, TX 78613 Phone: 510-334-4171 Fax: 859-757-0312 | |
Jasmine Kim Oliveira, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 E Whitestone Blvd, Cedar Park, TX 78613 Phone: 512-260-6100 | |
Dr. Jeremy Douglas Wiseman, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613 Phone: 512-345-8970 Fax: 512-345-6689 |