Breanna Rae Pruitt, is a
Occupational Therapist based in California, Missouri. Breanna Rae Pruitt is licensed to practice in * (Not Available) (license number ) and her current practice location is
34254 Rock House Rd, California, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 694-4454.
NPI number for Breanna Rae Pruitt is 1336836287 and her current mailing address is Po Box 361, California, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336836287.
Healthcare Provider's Profile
| Full Name | Breanna Rae Pruitt |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 34254 Rock House Rd, California, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336836287
- Provider Enumeration Date: 04/20/2023
- Last Update Date: 04/20/2023
Medical Identifiers
Medical identifiers for Breanna Rae Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336836287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
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. Breanna Rae Pruitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Breanna Rae Pruitt,
Po Box 361,
California, MO 65018-0361
Ph: (573) 694-4454 | Breanna Rae Pruitt,
34254 Rock House Rd,
California, MO 65018
Ph: (573) 694-4454 |
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