| Dr Cynthia E Mayfield, MD | |
|
2102 E Inwood Rd, South Bend, IN 46614-2443 | |
| (574) 299-2400 | |
| (574) 299-2410 |
| Full Name | Dr Cynthia E Mayfield |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2102 E Inwood Rd, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649260233 | NPI | - | NPPES |
| 100092010 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01039573A (Indiana) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cynthia E Mayfield, MD 2102 E Inwood Rd, South Bend, IN 46614-2443 Ph: (574) 299-2400 | Dr Cynthia E Mayfield, MD 2102 E Inwood Rd, South Bend, IN 46614-2443 Ph: (574) 299-2400 |
Linda Higginbotham, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355 | |
Dr. Luiz C Pantalena Filho, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4322 S Lafayette Blvd, South Bend, IN 46614 Phone: 574-391-1111 Fax: 574-859-5040 | |
Kathleen Kelley, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4322 S Lafayette Blvd, South Bend, IN 46614 Phone: 574-391-1111 Fax: 574-859-5040 | |
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. 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 |