Amy Vidwans Prakash, MD | |
1755 N Florida Ave, Lakeland, FL 33805-3109 | |
(863) 904-6201 | |
(866) 264-8519 |
Full Name | Amy Vidwans Prakash |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 22 Years |
Location | 1755 N Florida Ave, Lakeland, 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 |
---|---|---|---|
1316017759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | ME95029 (Florida) | Secondary |
207N00000X | Dermatology | ME95029 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Watson Clinic Llp | 1456258979 | 383 |
Entity Name | Watson Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316940695 PECOS PAC ID: 1456258979 Enrollment ID: O20031215000113 |
Mailing Address | Practice Location Address |
---|---|
Amy Vidwans Prakash, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 Ph: (863) 680-7000 | Amy Vidwans Prakash, MD 1755 N Florida Ave, Lakeland, FL 33805-3109 Ph: (863) 904-6201 |
Dr. Galina Shistik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1755 N Florida Ave, Lakeland, FL 33805 Phone: 863-904-6201 Fax: 866-264-2519 | |
David Gregory Yrastorza, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3670 Innovation Dr, Lakeland, FL 33812 Phone: 863-686-2282 Fax: 863-686-2370 | |
Dr. Sandra Michelle Pena, MD Dermatology Medicare: Medicare Enrolled Practice Location: 202 Lake Miriam Dr Ste 1, Lakeland, FL 33813 Phone: 866-400-3376 Fax: 863-709-0273 | |
Catherine Browning Marcum, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1033 N Parkway Frontage Rd, Lakeland, FL 33803 Phone: 863-680-7267 Fax: 866-264-8519 | |
Nicholas Wolhaupter, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6500 N Socrum Loop Rd, Suite 100, Lakeland, FL 33809 Phone: 863-853-3331 | |
Dr. Mary Lynn Pepine, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 727 S Florida Ave, Lakeland, FL 33801 Phone: 863-687-2055 Fax: 863-687-2155 |