Dr Tamikia Latray Prunty, DC - Medicare Chiropractor in Carrollton, TX

Dr Tamikia Latray Prunty, DC is a medicare enrolled "Chiropractor - Independent Medical Examiner" provider in Carrollton, Texas. Her current practice location is 1930 E Rosemeade Pkwy Ste 204, Carrollton, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 395-9350.

Dr Tamikia Latray Prunty is licensed to practice in Texas (license number 13247) 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 1003367731.

Contact Information

Dr Tamikia Latray Prunty, DC
1930 E Rosemeade Pkwy Ste 204,
Carrollton, TX 75007-2468
(972) 395-9350
Not Available



Healthcare Provider's Profile

Full NameDr Tamikia Latray Prunty
GenderFemale
SpecialityChiropractor - Independent Medical Examiner
Location1930 E Rosemeade Pkwy Ste 204, Carrollton, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003367731
  • Provider Enumeration Date: 10/18/2016
  • Last Update Date: 12/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022423136
  • Enrollment ID: I20210224000508

Medical Identifiers

Medical identifiers for Dr Tamikia Latray Prunty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003367731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NI0013XChiropractor - Independent Medical Examiner 13247 (Texas)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. Dr Tamikia Latray Prunty allows following entities to bill medicare on her behalf.
Provider NameTamikia L Prunty Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1679165518
PECOS PAC ID: 6305251414
Enrollment ID: O20210224000427

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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. Dr Tamikia Latray Prunty 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 Tamikia Latray Prunty, DC
2022 Shenandoah Dr,
Carrollton, TX 75007-5435

Ph: (972) 294-9642
Dr Tamikia Latray Prunty, DC
1930 E Rosemeade Pkwy Ste 204,
Carrollton, TX 75007-2468

Ph: (972) 395-9350

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Dr. Pamela V. Ford, D.C.
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