Unneetha Philomena Pruitt, RN, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Borrego Springs, California. Her current practice location is
4343 Yaqui Pass Rd., Borrego Springs, California. You can reach out to her office (for appointments etc.) via phone at
(760) 767-5051.
Unneetha Philomena Pruitt is licensed to practice in California (license number NP14071) 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 1730294174.
Provider's Profile
| Full Name | Unneetha Philomena Pruitt |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Women's Health |
|---|
| Location | 4343 Yaqui Pass Rd., Borrego Springs, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1730294174
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 04/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 1153513445
- Enrollment ID: I20101005000606
Medical Identifiers
Medical identifiers for Unneetha Philomena Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730294174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WG0000X | Registered Nurse - General Practice | RN402000 (California) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | NP14071 (California) | Primary |
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. Unneetha Philomena Pruitt allows following entities to bill medicare on her behalf.
| Entity Name | Borrego Community Health Foundation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1134144165
PECOS PAC ID: 1759299944
Enrollment ID: O20040122000961 |
|---|
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. Unneetha Philomena 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 |
|---|
Unneetha Philomena Pruitt, RN, NP
Po Box 2369,
Borrego Springs, CA 92004-2369
Ph: (760) 767-5051 | Unneetha Philomena Pruitt, RN, NP
4343 Yaqui Pass Rd.,
Borrego Springs, CA 92004-2369
Ph: (760) 767-5051 |
Reviews and Comments