Purandath Lall, MD | |
10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | |
(772) 344-3811 | |
(772) 344-3890 |
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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992777338 | NPI | - | NPPES |
020817900 | Medicaid | FL | |
182855000 | Medicaid | MN | |
W81GM | Other | FL | FLORIDA BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 47964 (Minnesota) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 125959 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Martin Memorial Physicians Corporation Inc | 7315833555 | 377 |
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 |
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 |
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 |