Philip Richard Persino, in South Bend, IN

Philip Richard Persino, is a medicare enrolled "Otolaryngology" physician in South Bend, Indiana. His current practice location is 6301 University Commons Ste 360, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 204-6522.

Philip Richard Persino is licensed to practice in Indiana (license number 01089151A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891291563.

Contact Information

	Philip Richard Persino,
	6301 University Commons Ste 360, South Bend, IN 46635-3500
	(574) 204-6522
	Not Available

Map and Direction

Physician's Profile

Full Name	Philip Richard Persino
Gender	Male
Speciality	Otolaryngology
Location	6301 University Commons Ste 360, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891291563
Provider Enumeration Date: 04/02/2018
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8022357540
Enrollment ID: I20230405002286

Medical Identifiers

Medical identifiers for Philip Richard Persino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891291563	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	01089151A (Indiana)	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. Philip Richard Persino allows following entities to bill medicare on his behalf.

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

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. Philip Richard Persino 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
Philip Richard Persino, 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 204-6522	Philip Richard Persino, 6301 University Commons Ste 360, South Bend, IN 46635-3500 Ph: (574) 204-6522

Reviews and Comments

Otolaryngology Doctors in South Bend, IN

Adam Snoap, Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl, Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064
Douglas Liepert, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 574-500-2010 Fax: 888-919-1083
Maher Abu-hamdan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810
Jon Blake Chadwell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810
Sonia Yuen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064
Stephen T Mctigue, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810
Dr. David J Isaacson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064

Philip Richard Persino, - Medicare Otolaryngology in South Bend, IN