Jenny M Pruitt, PA - Medicare Physician Assistant in Lebanon, VA

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Jenny M Pruitt, PA is a medicare enrolled "Physician Assistant - Medical" in Lebanon, Virginia. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Clyburn Physician Services Llc, Blue Ridge Medical Management Corporation, Benham Physician Services Llc and her current practice location is 58 Carroll St, Room 2037, Lebanon, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 883-8062.

Jenny M Pruitt is licensed to practice in Virginia (license number 0110002659) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1528249133.

Contact Information

Jenny M Pruitt, PA
58 Carroll St, Room 2037,
Lebanon, VA 24266
(276) 883-8062
(276) 883-8064

Map and Direction




Provider's Profile

Full NameJenny M Pruitt
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location58 Carroll St, Lebanon, Virginia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jenny M Pruitt graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1528249133
  • Provider Enumeration Date: 11/26/2007
  • Last Update Date: 02/23/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3173606365
  • Enrollment ID: I20080211000842

Medical Identifiers

Medical identifiers for Jenny M Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528249133NPI-NPPES
1528249133MedicaidVA
Q013872MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110002659 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Russell County HospitalLebanon, VAHospital
Johnston Memorial HospitalAbingdon, VAHospital
Smyth County Community HospitalMarion, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clyburn Physician Services Llc933563110020
Blue Ridge Medical Management Corporation9739099441283
Benham Physician Services Llc549624835310

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. Jenny M Pruitt allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467
Entity NameClyburn Physician Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740163179
PECOS PAC ID: 9335631100
Enrollment ID: O20251120000320
Entity NameOxbow Physician Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942183991
PECOS PAC ID: 1850883513
Enrollment ID: O20251120003649
Entity NameBenham Physician Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912881624
PECOS PAC ID: 5496248353
Enrollment ID: O20251201001222

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. Jenny M 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
Jenny M Pruitt, PA
58 Carroll St, Room 2037,
Lebanon, VA 24266

Ph: (276) 883-8062		Jenny M Pruitt, PA
58 Carroll St, Room 2037,
Lebanon, VA 24266

Ph: (276) 883-8062

Reviews and Comments


Physician Assistant Nurses in Lebanon, VA

Mrs. Jessica L. Pionk, PA-C
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Practice Location: 58 Carroll St Ste 2, Lebanon, VA 24266
Phone: 276-883-8086    
Wiley R Kent Ii, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 912 W Main St, Lebanon, VA 24266
Phone: 276-880-0211    Fax: 276-880-0213
Kelsey Wise Mccoy, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 58 Carroll Street, Lebanon, VA 24266
Phone: 276-883-8000    
Mrs. Rachel Gilmer, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 495 East Main Street, Lebanon, VA 24266
Phone: 276-889-3700    Fax: 276-889-5505

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.