Douglas Pruitt, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tucson, AZ

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Douglas Pruitt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tucson, Arizona. He graduated from nursing school in 1988 and has 37 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Great Lakes Anesthesia Pc, Beacon Medical Group Inc, Saint Joseph Regional Medical Center-south Bend Campus Inc and his current practice location is 6200 N La Cholla Blvd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 742-9000.

Douglas Pruitt is licensed to practice in Indiana (license number 28155497A) 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 1366493579.

Contact Information

Douglas Pruitt, CRNA
6200 N La Cholla Blvd,
Tucson, AZ 85741-3529
(520) 742-9000
Not Available

Map and Direction




Provider's Profile

Full NameDouglas Pruitt
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience37 Years
Location6200 N La Cholla Blvd, Tucson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Pruitt graduated from nursing school in 1988
  NPI Data:
  • NPI Number: 1366493579
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 10/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961301551
  • Enrollment ID: I20050131000191

Medical Identifiers

Medical identifiers for Douglas Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366493579NPI-NPPES
200047710MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28162626 (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 28155497A (Indiana)Primary
367500000XNurse Anesthetist, Certified Registered 326345 (Arizona)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital
Elkhart General HospitalElkhart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Anesthesia Pc06481834429
Beacon Medical Group Inc1254243306479
Saint Joseph Regional Medical Center-south Bend Campus Inc347645179069

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. Douglas Pruitt allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657
Entity NameGreat Lakes Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039977
PECOS PAC ID: 0648183442
Enrollment ID: O20031107000452
Entity NameSaint Joseph Regional Medical Center-south Bend Campus Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023844693
PECOS PAC ID: 3476451790
Enrollment ID: O20031223000724
Entity NameCommunity Hospital Of Bremen Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902017080
PECOS PAC ID: 6002897451
Enrollment ID: O20040601000388
Entity NameAssociated Anesthesiologists Of Fort Wayne Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538159140
PECOS PAC ID: 2264412444
Enrollment ID: O20040720001562
Entity NameAllied Physicians Surgery Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669032942
PECOS PAC ID: 3971609702
Enrollment ID: O20190807000979
Entity NameAms Northern Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427619840
PECOS PAC ID: 8022444306
Enrollment ID: O20200205000244
Entity NameIceland Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912578667
PECOS PAC ID: 7618372996
Enrollment ID: O20210825000860
Entity NameAas Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831827021
PECOS PAC ID: 4688045115
Enrollment ID: O20230120001025

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. Douglas Pruitt 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 AddressPractice Location Address
Douglas Pruitt, CRNA
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: (574) 647-2129		Douglas Pruitt, CRNA
6200 N La Cholla Blvd,
Tucson, AZ 85741-3529

Ph: (520) 742-9000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tucson, AZ

Eric Stanley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741
Phone: 520-742-9000    
Steven Anderson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719
Phone: 520-827-8448    
Silvia Galvan Druke, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1501 N Campbell Ave Rm 5301, Tucson, AZ 85724
Phone: 520-626-7221    Fax: 520-626-6943
Christy Mccrea, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741
Phone: 520-742-9000    Fax: 877-848-1457
Alice C Dastrup, ARNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741
Phone: 520-742-9000    
Devin Holt,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741
Phone: 520-742-9000    
Brigette Vyborny, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724
Phone: 420-694-0111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.