Dr Sandra Michelle Pena, MD in Lakeland, FL

Dr Sandra Michelle Pena, MD is a medicare enrolled "Dermatology" physician in Lakeland, Florida. Her current practice location is 202 Lake Miriam Dr Ste 1, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (866) 400-3376.

Dr Sandra Michelle Pena is licensed to practice in Florida (license number ME162739) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427587740.

Contact Information

	Dr Sandra Michelle Pena, MD
	202 Lake Miriam Dr Ste 1, Lakeland, FL 33813-2180
	(866) 400-3376
	(863) 709-0273

Map and Direction

Physician's Profile

Full Name	Dr Sandra Michelle Pena
Gender	Female
Speciality	Dermatology
Location	202 Lake Miriam Dr Ste 1, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427587740
Provider Enumeration Date: 06/08/2017
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5890125678
Enrollment ID: I20230718000450

Medical Identifiers

Medical identifiers for Dr Sandra Michelle Pena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427587740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	ME162739 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sandra Michelle Pena allows following entities to bill medicare on her behalf.

Entity Name	Leavitt Medical Associates Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandra Michelle Pena is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sandra Michelle Pena, MD 202 Lake Miriam Dr Ste 1, Lakeland, FL 33813-2180 Ph: (866) 400-3376	Dr Sandra Michelle Pena, MD 202 Lake Miriam Dr Ste 1, Lakeland, FL 33813-2180 Ph: (866) 400-3376

Reviews and Comments

Dermatology Doctors in Lakeland, FL

Dr. Galina Shistik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1755 N Florida Ave, Lakeland, FL 33805 Phone: 863-904-6201 Fax: 866-264-2519
David Gregory Yrastorza, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3670 Innovation Dr, Lakeland, FL 33812 Phone: 863-686-2282 Fax: 863-686-2370
Amy Vidwans Prakash, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1755 N Florida Ave, Lakeland, FL 33805 Phone: 863-904-6201 Fax: 866-264-8519
Catherine Browning Marcum, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1033 N Parkway Frontage Rd, Lakeland, FL 33803 Phone: 863-680-7267 Fax: 866-264-8519
Nicholas Wolhaupter, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6500 N Socrum Loop Rd, Suite 100, Lakeland, FL 33809 Phone: 863-853-3331
Dr. Mary Lynn Pepine, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 727 S Florida Ave, Lakeland, FL 33801 Phone: 863-687-2055 Fax: 863-687-2155

Dr Sandra Michelle Pena, MD - Medicare Dermatology in Lakeland, FL