Laura Kellam Pratt, MD is a medicare enrolled "Dermatology" physician in Colonial Heights, Virginia. Her current practice location is
280 Charles Dimmock Pkwy, Suite 4, Colonial Heights, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 526-7364.
Laura Kellam Pratt is licensed to practice in Virginia (license number 0101231692) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548260912.
Physician's Profile
| Full Name | Laura Kellam Pratt |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 280 Charles Dimmock Pkwy, Colonial Heights, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548260912
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 07/31/2014
Medicare PECOS Information:
- PECOS PAC ID: 2567453764
- Enrollment ID: I20040518001015
Medical Identifiers
Medical identifiers for Laura Kellam Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548260912 | NPI | - | NPPES |
| P00047267 | Other | | RAILROAD MEDICARE |
| 7442479 | Other | | AETNA |
| 010008280 | Medicaid | VA | |
| 0300585 | Other | | UNITED HEALTHCARE |
| 230056 | Other | | SOUTHERN HEALTH |
| 465745 | Other | | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 0101231692 (Virginia) | 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. Laura Kellam Pratt allows following entities to bill medicare on her behalf.
| Entity Name | Dermatology Associates Of Richmond Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316952716
PECOS PAC ID: 5092702548
Enrollment ID: O20040427001687 |
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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. Laura Kellam Pratt 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 |
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Laura Kellam Pratt, MD
301 Concourse Blvd, Suite 190,
Glen Allen, VA 23059-5643
Ph: (804) 549-4030 | Laura Kellam Pratt, MD
280 Charles Dimmock Pkwy, Suite 4,
Colonial Heights, VA 23834-2940
Ph: (804) 526-7364 |
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