DENA R PRUITT PAC NPI 1497908750

Physician Assistant (Surgical) in Soquel, CA

NPI 1497908750 Individual Female Years of Experience 14 Physician Assistant Surgical PECOS Enrolled Accepts Medicare Approved Payment

About DENA PRUITT

Dena Pruitt is a provider established in Soquel, California and her medical specialization is physician assistant (surgical) with more than 14 years of experience. The NPI number of Dena Pruitt is 1497908750 and was assigned on October 2008. The practitioner's primary taxonomy code is 363AS0400X with license number PA51240 (CA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

Dena Pruitt is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Dena Pruitt is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Harborview Medical Center.

NPI

1497908750

Provider Name DENA R PRUITT PAC
Provider Location Address3035 N MAIN ST SOQUEL, CA 95073
Provider Mailing Address3035 N MAIN ST SOQUEL, CA 95073
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2008
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-30-2008
Last Update Date03-10-2014


Primary Taxonomy

Taxonomy Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical
License No.PA51240
License StateCA

Business Address

DENA R PRUITT PAC
3035 N MAIN ST
SOQUEL, CA
ZIP 95073
Phone: (831) 465-8680

Get Directions


Mailing Address

DENA R PRUITT PAC
3035 N MAIN ST
SOQUEL, CA
ZIP 95073
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5698839702
PECOS Enrollment IDI20090203000683
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 22Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • 20Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • 12Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dena Pruitt is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HARBORVIEW MEDICAL CENTER325 9TH AVENUE
SEATTLE, WA 98104
(206) 731-3000Acute Care Hospitals500064

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantPA60053140WANo

Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalPA60053140WANo

Taxonomy Description: Not Available

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861697328J. TALISMAN POMEROY, IV, M.D.
Organization
Specialist3035 N MAIN ST
SOQUEL, CA 95073
(831) 462-8750
1275797466JENNIFER J CHOATE MD
Organization
Clinic/Center (Oncology)3035 N MAIN ST
SOQUEL, CA 95073
(831) 462-8750
1053794776 MONICA GONZALEZ
Individual
Physician Assistant3035 N MAIN ST
SOQUEL, CA 95073
(831) 465-8680

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.