Dr Carli Nicole Pruitt, PSYD, JD - Medicare Psychologist in Cheverly, MD

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Dr Carli Nicole Pruitt, PSYD, JD is a medicare enrolled "Psychologist" provider in Cheverly, Maryland. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Premier Health Care Llc and her current practice location is 3001 Hospital Dr, Cheverly, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 618-2000.

Dr Carli Nicole Pruitt is licensed to practice in Pennsylvania (license number PS018963) 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 1053950949.

Contact Information

Dr Carli Nicole Pruitt, PSYD, JD
3001 Hospital Dr,
Cheverly, MD 20785-1189
(301) 618-2000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Carli Nicole Pruitt
GenderFemale
SpecialityClinical Psychologist
Experience6 Years
Location3001 Hospital Dr, Cheverly, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carli Nicole Pruitt graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1053950949
  • Provider Enumeration Date: 12/26/2019
  • Last Update Date: 04/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628405446
  • Enrollment ID: I20210511000504

Medical Identifiers

Medical identifiers for Dr Carli Nicole Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053950949NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS018963 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umd Prince George's Hospital CtrCheverly, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Health Care Llc761828584214

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. Dr Carli Nicole Pruitt allows following entities to bill medicare on her behalf.
Entity NameDimensions Healthcare Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346354834
PECOS PAC ID: 1557269743
Enrollment ID: O20031226000032
Entity NamePremier Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285017822
PECOS PAC ID: 7618285842
Enrollment ID: O20151008000494

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. Dr Carli Nicole 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
Dr Carli Nicole Pruitt, PSYD, JD
208 Dairy Rd,
Berwick, PA 18603-5819

Ph: (570) 594-7053		Dr Carli Nicole Pruitt, PSYD, JD
3001 Hospital Dr,
Cheverly, MD 20785-1189

Ph: (301) 618-2000

Reviews and Comments


Psychologist in Cheverly, MD


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.