| Prerna Alfa Mall, DPM | |
|
408 S 1st St, Lake Wales, FL 33853-4146 | |
| (863) 676-1710 | |
| Not Available |
| Full Name | Prerna Alfa Mall |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 13 Years |
| Location | 408 S 1st St, Lake Wales, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043652290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3830 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Winter haven, FL | Home health agency |
| Adventhealth Lake Wales | Lake wales, FL | Hospital |
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Wales Foot And Ankle Care Inc | 7416244645 | 2 |
| Provider Name | Lake Wales Foot And Ankle Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770930919 PECOS PAC ID: 7416244645 Enrollment ID: O20161003000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Prerna Alfa Mall, DPM 408 S 1st St, Lake Wales, FL 33853-4146 Ph: (863) 676-1710 | Prerna Alfa Mall, DPM 408 S 1st St, Lake Wales, FL 33853-4146 Ph: (863) 676-1710 |
Podiatry Center Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 408 S 1st St, Lake Wales, FL 33853 Phone: 863-676-1710 Fax: 863-676-0025 | |
Lake Wales Foot And Ankle Care, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 408 S 1st St, Highland Meadows, Lake Wales, FL 33853 Phone: 863-676-1710 |