Carol D Luzzi, MD | |
100 Navarre Pl, Suite 5550, South Bend, IN 46601-1156 | |
(574) 647-2550 | |
(574) 647-2549 |
Full Name | Carol D Luzzi |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 44 Years |
Location | 100 Navarre Pl, South Bend, Indiana |
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 |
---|---|---|---|
1881764579 | NPI | - | NPPES |
200116740 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01064266A (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01064266A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beacon Medical Group Inc | 1254243306 | 444 |
Entity Name | Beacon Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
Mailing Address | Practice Location Address |
---|---|
Carol D Luzzi, MD 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | Carol D Luzzi, MD 100 Navarre Pl, Suite 5550, South Bend, IN 46601-1156 Ph: (574) 647-2550 |
Angela C Herman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 4th Fl, South Bend, IN 46601 Phone: 574-647-6892 Fax: 574-647-6895 | |
Asad Ansari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 5550, South Bend, IN 46601 Phone: 574-647-2550 Fax: 574-647-1129 | |
Megan Elizabeth Conway, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696 | |
Dr. Lori A Wykoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652 | |
Ruchita Kachru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-291-3351 | |
Dr. Robert Dennis White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-7351 Fax: 574-647-7248 | |
Hari Rasad Gourabathini, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Michigan St 5th Fl, South Bend, IN 46601 Phone: 574-647-7275 Fax: 574-647-3696 |