Individual ProviderHla Hla WaiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701(260) 672-6620PECOS EnrollmentThis provider is enrolled in PECOS as HLA WAI.Based on the most recent information from CMS, provider Hla Hla Wai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1407473440Provider TypeIndividualFull NameWai, Hla HlaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/25/2020Last Updated10/2/2023Contact InformationPractice LocationPractice Address11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701Phone(260) 672-6620Fax(260) 672-6639Mailing LocationMailing Address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense01090547AIndianaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125.075784Illinois