Mr Matthew H Pruitt, PA-C in Benton, AR - Medicare Physician Assistant

Mr Matthew H Pruitt, PA-C is a medicare enrolled "Physician Assistant" in Benton, Arkansas. His current practice location is 1 Medical Park Dr, Benton, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 776-6000.

Mr Matthew H Pruitt is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023475878.

Contact Information

	Mr Matthew H Pruitt, PA-C
	1 Medical Park Dr, Benton, AR 72015-3353
	(501) 776-6000
	Not Available

Provider's Profile

Full Name	Mr Matthew H Pruitt
Gender	Male
Speciality	Physician Assistant
Location	1 Medical Park Dr, Benton, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023475878
Provider Enumeration Date: 01/25/2016
Last Update Date: 01/25/2016

Medicare PECOS Information:

PECOS PAC ID: 4183921554
Enrollment ID: I20160330000712

Medical Identifiers

Medical identifiers for Mr Matthew H Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023475878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (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. Mr Matthew H 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
Mr Matthew H Pruitt, PA-C 27 Lariat Ct, Little Rock, AR 72211-4142 Ph: (407) 625-4547	Mr Matthew H Pruitt, PA-C 1 Medical Park Dr, Benton, AR 72015-3353 Ph: (501) 776-6000

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Physician Assistant Nurses in Benton, AR

Mackenzie D Cole, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6000
Bridget Catherine O'leary, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Mcneil St, Benton, AR 72015 Phone: 501-315-1222
Ashley Martindale, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Mcneil St, Benton, AR 72015 Phone: 501-315-1222
Rikki Lea Walker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6800 Fax: 501-776-6818
Jasmin Ann Lease, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2010 Active Way, Benton, AR 72019 Phone: 501-315-0984 Fax: 501-847-1405
David M Street, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2010 Active Way, Benton, AR 72022 Phone: 501-315-0984 Fax: 501-847-1405

Mr Matthew H Pruitt, PA-C - Medicare Physician Assistant in Benton, AR