Dr Luiz C Pantalena Filho, MD, PHD | |
1815 E Ireland Rd, South Bend, IN 46614-2845 | |
(574) 647-1700 | |
(574) 647-7572 |
Full Name | Dr Luiz C Pantalena Filho |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 15 Years |
Location | 1815 E Ireland Rd, South Bend, Indiana |
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 |
---|---|---|---|
1225321722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 01073773A (Indiana) | Secondary |
207N00000X | Dermatology | 01073773A (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 |
---|---|
Dr Luiz C Pantalena Filho, MD, PHD 1124 Aline Ct, South Bend, IN 46614-2189 Ph: (650) 387-9765 | Dr Luiz C Pantalena Filho, MD, PHD 1815 E Ireland Rd, South Bend, IN 46614-2845 Ph: (574) 647-1700 |
Linda Higginbotham, MD Dermatology Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355 | |
Dr. Holly L Hake-harris, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208 | |
Dr. Cynthia E Mayfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2400 Fax: 574-299-2410 | |
Dr. Mary K Harder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-237-9208 |