Kelly Elizabeth Pruitt, FNP-BC is a medicare enrolled "Family Medicine" in Rainbow City, Alabama. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Np Associates Llc and her current practice location is
3500 Rainbow Dr, Rainbow City, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 442-3208.
Kelly Elizabeth Pruitt is licensed to practice in Alabama (license number 1-122055) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447979638.
Provider's Profile
| Full Name | Kelly Elizabeth Pruitt |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3500 Rainbow Dr, Rainbow City, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Elizabeth Pruitt graduated from nursing school in 2022
NPI Data:
- NPI Number: 1447979638
- Provider Enumeration Date: 08/23/2022
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476939018
- Enrollment ID: I20221005000000
Medical Identifiers
Medical identifiers for Kelly Elizabeth Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447979638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1-122055 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 1-122055 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Np Associates Llc | 1557686243 | 46 |
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. Kelly Elizabeth Pruitt allows following entities to bill medicare on her behalf.
| Entity Name | Southern Np Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407257447
PECOS PAC ID: 1557686243
Enrollment ID: O20150223000847 |
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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. Kelly Elizabeth 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 Address | Practice Location Address |
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Kelly Elizabeth Pruitt, FNP-BC
105 County Road 936,
Centre, AL 35960-8638
Ph: (256) 304-4167 | Kelly Elizabeth Pruitt, FNP-BC
3500 Rainbow Dr,
Rainbow City, AL 35906-6310
Ph: (256) 442-3208 |
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