Timothy L Pruett, MD is a medicare enrolled "Transplant Surgery" physician in Minneapolis, Minnesota. He went to Baylor College Of Medicine and graduated in 1976 and has 50 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Fairview Express Care and his current practice location is
909 Fulton St Se, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 672-7422.
Timothy L Pruett is licensed to practice in Virginia (license number 0101040520) 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 1659402873.
Physician's Profile
| Full Name | Timothy L Pruett |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 50 Years |
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| Location | 909 Fulton St Se, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Timothy L Pruett attended and graduated from Baylor College Of Medicine in 1976
NPI Data:
- NPI Number: 1659402873
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698783355
- Enrollment ID: I20100409000021
Medical Identifiers
Medical identifiers for Timothy L Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659402873 | NPI | - | NPPES |
| 007398778 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 204F00000X | Transplant Surgery | 0101040520 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fairview Express Care | 3375645179 | 1946 |
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. Timothy L Pruett allows following entities to bill medicare on his behalf.
| Entity Name | University of Minnesota Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
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| Entity Name | Fairview Express Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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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. Timothy L 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 |
Timothy L Pruett, MD 720 Washington Ave Se, University Of Minnesota Physicians, Minneapolis, MN 55414 Ph: (612) 884-0649 | Timothy L Pruett, MD 909 Fulton St Se, Minneapolis, MN 55455-4800 Ph: (612) 672-7422 |
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