| Luis Alfonso Benavente Chenhalls, MD | |
|
500 Arcade Ave, Suite 340, Elkhart, IN 46514-2477 | |
| (574) 293-3317 | |
| (574) 293-3523 |
| Full Name | Luis Alfonso Benavente Chenhalls |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 23 Years |
| Location | 500 Arcade Ave, Elkhart, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164445433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01068947A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Unity Medical And Surgical Hospital | Mishawaka, IN | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The South Bend Clinic Llc | 3779577937 | 160 |
| 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 |
|---|---|
| Luis Alfonso Benavente Chenhalls, MD 6301 University Commons, Suite 230, South Bend, IN 46635-1571 Ph: (574) 251-2100 | Luis Alfonso Benavente Chenhalls, MD 500 Arcade Ave, Suite 340, Elkhart, IN 46514-2477 Ph: (574) 293-3317 |
Bradley Gordan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 | |
Nicholas Miller, Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891 | |
Anatoliy V. Rudin, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-293-3317 | |
Dr. Kelly R. Puster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3220 Fax: 574-296-3322 | |
Dr. Peter Chulhi Kang, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 | |
Dr. Colin Talanda Fath, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 |