Dr Luiz C Pantalena Filho, MD, PHD - Medicare Dermatology in South Bend, IN

Dr Luiz C Pantalena Filho, MD, PHD is a medicare enrolled "Dermatology" physician in South Bend, Indiana. He went to Stanford University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 1815 E Ireland Rd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-1700.

Dr Luiz C Pantalena Filho is licensed to practice in Indiana (license number 01073773A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225321722.

Contact Information

Dr Luiz C Pantalena Filho, MD, PHD
1815 E Ireland Rd,
South Bend, IN 46614-2845
(574) 647-1700
(574) 647-7572



Physician's Profile

Full NameDr Luiz C Pantalena Filho
GenderMale
SpecialityDermatology
Experience14 Years
Location1815 E Ireland Rd, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Luiz C Pantalena Filho attended and graduated from Stanford University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1225321722
  • Provider Enumeration Date: 05/17/2011
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406176460
  • Enrollment ID: I20150515000232

Medical Identifiers

Medical identifiers for Dr Luiz C Pantalena Filho such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225321722NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 01073773A (Indiana)Secondary
207N00000XDermatology 01073773A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452

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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 Luiz C Pantalena Filho allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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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 Luiz C Pantalena Filho 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 AddressPractice Location Address
Dr Luiz C Pantalena Filho, MD, PHD
710 N Niles Ave,
South Bend, IN 46617-1924

Ph: (574) 647-1610
Dr Luiz C Pantalena Filho, MD, PHD
1815 E Ireland Rd,
South Bend, IN 46614-2845

Ph: (574) 647-1700

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Dermatology Doctors in South Bend, IN

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

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