Heidi Paff Pruett, is a medicare enrolled "Nurse Practitioner - Gerontology" in Pleasant Grove, Alabama. Her current practice location is
700 1st Ave, Pleasant Grove, Alabama. You can reach out to her office (for appointments etc.) via phone at
(731) 394-1145.
Heidi Paff Pruett is licensed to practice in Alabama (license number 1-075629) 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 1699418228.
Provider's Profile
| Full Name | Heidi Paff Pruett |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 700 1st Ave, Pleasant Grove, Alabama |
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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: 1699418228
- Provider Enumeration Date: 04/20/2022
- Last Update Date: 02/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880046291
- Enrollment ID: I20240122003478
Medical Identifiers
Medical identifiers for Heidi Paff Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699418228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 1-075629 (Alabama) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 1-075629 (Alabama) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 1-075629 (Alabama) | Secondary |
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. Heidi Paff Pruett allows following entities to bill medicare on her behalf.
| Entity Name | Ultra Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20200212001980 |
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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. Heidi Paff 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 |
|---|
Heidi Paff Pruett,
4661 Amberley Dr,
Birmingham, AL 35242-7588
Ph: (334) 328-0038 | Heidi Paff Pruett,
700 1st Ave,
Pleasant Grove, AL 35127-1915
Ph: (731) 394-1145 |
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