| Caleb Lawrence Pruitt, | |
|
1219 Merritt Hill Trl, Smyrna, TN 37167-1599 | |
| (573) 380-2407 | |
| Not Available |
| Full Name | Caleb Lawrence Pruitt |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 1219 Merritt Hill Trl, Smyrna, Tennessee |
| 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 |
|---|---|---|---|
| 1598429482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 2018027462 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Missouri Delta Medical Center | 1355252891 | 128 |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Entity Name | Resource Anesthesiology Associates Of Mo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396116521 PECOS PAC ID: 0042514150 Enrollment ID: O20160210002213 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Lawrence Pruitt, 1219 Merritt Hill Trl, Smyrna, TN 37167-1599 Ph: (573) 380-2407 | Caleb Lawrence Pruitt, 1219 Merritt Hill Trl, Smyrna, TN 37167-1599 Ph: (573) 380-2407 |
Heather Diane Smarekar Evans, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 637 Potomac Pl, Smyrna, TN 37167 Phone: 423-310-1800 | |
Mrs. Tabitha Russell, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 14299 Old Nashville Hwy, Smyrna, TN 37167 Phone: 866-389-2727 | |
Emmy Marie Zarabi, CNM Registered Nurse Medicare: Medicare Enrolled Practice Location: 300 Stonecrest Blvd Ste 310, Smyrna, TN 37167 Phone: 629-206-6858 | |
Christian Howell, RN,FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 819 Medical Park, Smyrna, TN 37167 Phone: 615-987-0332 Fax: 615-984-4960 | |
Mr. Bryon Keith Goodman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Stonecrest Blvd, Smyrna, TN 37167 Phone: 615-768-2000 | |
Melissa Marie Hastings, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 108 David Collins Dr, Smyrna, TN 37167 Phone: 615-355-6175 | |
Mr. Robert Bruce Dickinson, APN Registered Nurse Medicare: Medicare Enrolled Practice Location: 983 Nissan Dr, Smyrna, TN 37167 Phone: 615-459-1944 Fax: 615-459-1944 |