| Dr Vernon L Pruitt, MD | |
|
1108 Ross Clark Circle, Dothan, AL 36301 | |
| (334) 793-5105 | |
| Not Available |
| Full Name | Dr Vernon L Pruitt |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 1108 Ross Clark Circle, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1912986886 | NPI | - | NPPES |
| 051518440 | Medicaid | AL | |
| 420979327A | Other | GEORGIA MEDICAID | |
| 51518440 | Other | BCBS OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 00025583 (Alabama) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 00025583 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Consultants Medical Group Pc | 8628975935 | 14 |
| Entity Name | Anesthesia Consultants Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902885874 PECOS PAC ID: 8628975935 Enrollment ID: O20031216000012 |
| Entity Name | Southern Alabama Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vernon L Pruitt, MD 1118 Ross Clark Circle, Anesthesia Consultants Medical Group Pc Ste 700, Dothan, AL 36301 Ph: (334) 793-5105 | Dr Vernon L Pruitt, MD 1108 Ross Clark Circle, Dothan, AL 36301 Ph: (334) 793-5105 |
David Tyler Warren, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Kyle Morris Jones, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Stephen L Hughes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Anesthesia Dept, Dothan, AL 36305 Phone: 334-794-5000 | |
Dr. Steven H Sykes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Circle, Ste 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Jeremy Bernard Smith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 | |
Dr. Jeffrey S Graham, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Circle, Suite 700, Dothan, AL 36301 Phone: 334-793-5105 Fax: 334-671-5073 | |
Dr. Matthew T Jennings, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1118 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-5105 |