Purandath Lall, MD in Port St Lucie, FL - Medicare Vascular Surgery

Purandath Lall, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Port St Lucie, Florida. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Martin Memorial Physicians Corporation Inc and his current practice location is 10080 Sw Innovation Way Ste 201, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 344-3811.

Purandath Lall is licensed to practice in Florida (license number 125959) 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 1992777338.

Contact Information

	Purandath Lall, MD
	10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129
	(772) 344-3811
	(772) 344-3890

Map and Direction

Physician's Profile

Full Name	Purandath Lall
Gender	Male
Speciality	Vascular Surgery
Experience	30 Years
Location	10080 Sw Innovation Way Ste 201, Port St Lucie, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Purandath Lall graduated from medical school in 1994

NPI Data:

NPI Number: 1992777338
Provider Enumeration Date: 02/01/2006
Last Update Date: 10/14/2020

Medicare PECOS Information:

PECOS PAC ID: 9436174216
Enrollment ID: I20160518000025

Medical Identifiers

Medical identifiers for Purandath Lall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992777338	NPI	-	NPPES
020817900	Medicaid	FL
182855000	Medicaid	MN
W81GM	Other	FL	FLORIDA BLUE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	47964 (Minnesota)	Secondary
2086S0129X	Surgery - Vascular Surgery	125959 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cleveland Clinic Martin North Hospital	Stuart, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Martin Memorial Physicians Corporation Inc	7315833555	372

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. Purandath Lall allows following entities to bill medicare on his behalf.

Entity Name	Martin Memorial Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241

Entity Name	Martin Memorial Physicians Corporation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440

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. Purandath Lall 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
Purandath Lall, MD Po Box 417, Stuart, FL 34995-0417 Ph: (772) 223-2832	Purandath Lall, MD 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 Ph: (772) 344-3811

Reviews and Comments

Surgery Doctors in Port St Lucie, FL

Dr. Rafael Quinones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 295 Nw Peacock Blvd, Port St Lucie, FL 34986 Phone: 800-991-6117 Fax: 888-812-8191
Edward J Scheel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1801 Se Hillmoor Dr, Suite A101, Port St Lucie, FL 34952 Phone: 772-337-5535 Fax: 772-337-3655
Adam D Kurtin, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Se Goldtree Dr, Suite 102-104, Port St Lucie, FL 34952 Phone: 772-335-8446 Fax: 772-335-8499
Ana Paula Machado-hopkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952 Phone: 772-335-8446 Fax: 772-335-8499
Dr. Eric Duffy, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952 Phone: 772-335-8446 Fax: 772-335-8499
Dr. Sarah A. Vogler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-345-8100
Matthew N Peebles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10050 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 772-344-3811 Fax: 772-344-3890

Purandath Lall, MD - Medicare Vascular Surgery in Port St Lucie, FL