Dr Luiz C Pantalena Filho, MD, PHD in South Bend, IN - Medicare Micrographic Dermatologic Surgery (mds)

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 15 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Cardinal Dermatology Llc and his current practice location is 4322 S Lafayette Blvd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 391-1111.

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
	4322 S Lafayette Blvd, South Bend, IN 46614-2518
	(574) 391-1111
	(574) 859-5040

Map and Direction

Physician's Profile

Full Name	Dr Luiz C Pantalena Filho
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	15 Years
Location	4322 S Lafayette Blvd, 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.

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: 04/11/2025

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.

Identifier	Type	State	Issuer
1225321722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	01073773A (Indiana)	Secondary
207N00000X	Dermatology	01073773A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardinal Dermatology Llc	0042741746	6

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 Name	Cardinal Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174390926 PECOS PAC ID: 0042741746 Enrollment ID: O20241004003456

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 Address	Practice Location Address
Dr Luiz C Pantalena Filho, MD, PHD 4322 S Lafayette Blvd, South Bend, IN 46614-2518 Ph: (574) 391-1111	Dr Luiz C Pantalena Filho, MD, PHD 4322 S Lafayette Blvd, South Bend, IN 46614-2518 Ph: (574) 391-1111

Reviews and Comments

Dermatology Doctors in South Bend, IN

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
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. Cynthia E Mayfield, MD Dermatology Medicare: Medicare Enrolled 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

Dr Luiz C Pantalena Filho, MD, PHD - Medicare Micrographic Dermatologic Surgery (mds) in South Bend, IN