Dr Jon Davis Pruett, MD - Medicare Dermatology in Dallas, TX

Dr Jon Davis Pruett, MD is a medicare enrolled "Dermatology" physician in Dallas, Texas. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Revival Dermatology Pllc and his current practice location is 8201 Preston Rd Ste 440, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 675-3227.

Dr Jon Davis Pruett is licensed to practice in Louisiana (license number MD.15367R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023071933.

Contact Information

Dr Jon Davis Pruett, MD
8201 Preston Rd Ste 440,
Dallas, TX 75225-6209
(214) 675-3227
Not Available



Physician's Profile

Full NameDr Jon Davis Pruett
GenderMale
SpecialityDermatology
Experience22 Years
Location8201 Preston Rd Ste 440, Dallas, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jon Davis Pruett attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2002
  NPI Data:
  • NPI Number: 1023071933
  • Provider Enumeration Date: 04/11/2006
  • Last Update Date: 02/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628171808
  • Enrollment ID: I20070308000071

Medical Identifiers

Medical identifiers for Dr Jon Davis Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023071933NPI-NPPES
8AG440OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD.15367R (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Revival Dermatology Pllc71133211673

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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 Jon Davis Pruett allows following entities to bill medicare on his behalf.
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189

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Entity NameRevival Dermatology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679149702
PECOS PAC ID: 7113321167
Enrollment ID: O20210812001699

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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 Jon Davis Pruett 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 Jon Davis Pruett, MD
8201 Preston Rd Ste 440,
Dallas, TX 75225-6209

Ph: (214) 675-3227
Dr Jon Davis Pruett, MD
8201 Preston Rd Ste 440,
Dallas, TX 75225-6209

Ph: (214) 675-3227

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Dermatology Doctors in Dallas, TX

Titilola Sode,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-590-8000    
Dr. Daniel D. Witheiler, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1411 N Beckley Ave, Pavilion Iii, Suite 470, Dallas, TX 75203
Phone: 214-941-7546    Fax: 214-941-2442
Dr. Lynne Jeanine Roberts, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 8144 Walnut Hill Ln, Ste 360, Dallas, TX 75231
Phone: 469-232-9300    Fax: 469-232-9850
Patrick Henry Mcdonough,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6162 E Mockingbird Ln, Suite 120, Dallas, TX 75214
Phone: 214-463-8328    
Juliet Gibson,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 8144 Walnut Hill Ln Ste 1300, Dallas, TX 75231
Phone: 214-420-7070    Fax: 214-420-7380
Dr. Martin Alan Menter, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 3900 Junius St, Suite 145, Dallas, TX 75246
Phone: 972-386-7546    Fax: 972-701-8008

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