Prerna Mall (NPI# 1043652290, PAC ID# 6507153731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1043652290 |
| PAC ID by PECOS | 6507153731 |
| Professional Enrollment ID | I20161003000235 |
| Full Name | Prerna Mall |
| Address |
408 S 1st St Lake Wales FL 33853-4146 |
| Gender | F |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100099 | LAKE WALES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 408 S 1st St, Lake Wales, FL 33853-4146 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 62% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 63% |
| Street Address |
408 S 1ST ST |
| City | LAKE WALES |
| State | FL |
| Zip | 33853-4146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgianna W Sorensen | Nurse Practitioner | 237 E Park Ave, Lake Wales, FL 33853-3705 | |
| Boris D Nunez | Cardiovascular Disease (cardiology) | 320 Sr 60, Lake Wales, FL 33853-3750 | |
| Gilberto A Lozano | Internal Medicine | 320 State Rd 60, Suite 301, Lake Wales, FL 33853-3750 | |
| Dominiqua Lint | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Beatrice Aime Celian | General Practice | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Tiffany L Garner | Nurse Practitioner | Central Florida Health Care Inc | 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015 |
| Robert D Bazley | Obstetrics/gynecology | Florida Department of Health | 835 W Central Ave, Lake Wales, FL 33853-4024 |
| Leonilo V Trono | Physical Therapy | Core Rehabilitation Inc | 61 W Central Ave, Lake Wales, FL 33853-4113 |
| Kenneth Neigut | Diagnostic Radiology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Bade Akintan | Urology | Central Florida Cancer Institute Pa | 22 State Rd 60, Lake Wales, FL 33853-4118 |
| Find all physicians in zip 33853 | |||
| City | LAKE WALES |
| Zip Code | 33853 |
| Specialty | PODIATRY |
| City + Specialty | LAKE WALES + PODIATRY |
Please comment or provide details below to improve the information on Prerna Mall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.