Stacey A Pruitt, OD in Greenfield, IN - Medicare Optometrist Provider

Stacey A Pruitt, OD is a medicare enrolled "Optometrist" provider in Greenfield, Indiana. Her current practice location is 1250 N State St, Greenfield, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 614-1411.

Stacey A Pruitt is licensed to practice in Indiana (license number 18003010A) 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 1700837069.

Contact Information

	Stacey A Pruitt, OD
	1250 N State St, Greenfield, IN 46140-1055
	(812) 614-1411
	(317) 462-6342

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey A Pruitt
Gender	Female
Speciality	Optometrist
Location	1250 N State St, Greenfield, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700837069
Provider Enumeration Date: 05/12/2006
Last Update Date: 03/17/2019

Medicare PECOS Information:

PECOS PAC ID: 1456327626
Enrollment ID: I20040908001484

Medical Identifiers

Medical identifiers for Stacey A Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700837069	NPI	-	NPPES
P00447876	Other	IN	MEDICARE ID NUMBER
200291080	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18003010A (Indiana)	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. Stacey A Pruitt allows following entities to bill medicare on her behalf.

Provider Name	Stacey A Pruitt Od,inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508322009 PECOS PAC ID: 3678814829 Enrollment ID: O20190416002347

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. Stacey A 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
Stacey A Pruitt, OD 10639 Windjammer Cir, Indianapolis, IN 46236-8934 Ph: (812) 614-1411	Stacey A Pruitt, OD 1250 N State St, Greenfield, IN 46140-1055 Ph: (812) 614-1411

Reviews and Comments

Optometrist in Greenfield, IN

Faye L Peters, Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1250 N State St, Greenfield, IN 46140 Phone: 317-462-5949
Dr. Caitlin Marie Parks, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601
Dr. Nicholas Joseph Mccolley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601 Fax: 317-462-6625
Dr. Elaine R Scott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1451 Jason Rd, Greenfield, IN 46140 Phone: 317-462-6601
Kelley Lynn Deak, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 740 W Green Meadows Dr Ste 300, Greenfield, IN 46140 Phone: 317-477-3937 Fax: 317-477-3939
Dr. Monica Price Kowaleski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 946 N State St, Suite B, Greenfield, IN 46140 Phone: 317-402-0222
Kasey Stolle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 W Green Meadows Dr Ste 300, Greenfield, IN 46140 Phone: 317-477-3937 Fax: 317-477-3939

Stacey A Pruitt, OD - Medicare Optometrist in Greenfield, IN