Luis Antonio Sardina Pena, MD in Albuquerque, NM - Medicare Student in an Organized Health Care Education/Training Program

Luis Antonio Sardina Pena, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. His current practice location is University Of New Mexico, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (216) 444-2200.

Luis Antonio Sardina Pena is licensed to practice in New Mexico (license number MD2024-0810) 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 1811379274.

Contact Information

	Luis Antonio Sardina Pena, MD
	University Of New Mexico, Albuquerque, NM 87131-5364
	(216) 444-2200
	(216) 445-9535

Map and Direction

Physician's Profile

Full Name	Luis Antonio Sardina Pena
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	University Of New Mexico, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811379274
Provider Enumeration Date: 06/22/2015
Last Update Date: 02/13/2025

Medicare PECOS Information:

PECOS PAC ID: 7012367477
Enrollment ID: I20231227001633

Medical Identifiers

Medical identifiers for Luis Antonio Sardina Pena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811379274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD2024-0810 (New Mexico)	Secondary
207N00000X	Dermatology	MD2024-0810 (New Mexico)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	MD2024-0810 (New Mexico)	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. Luis Antonio Sardina Pena allows following entities to bill medicare on his behalf.

Entity Name	Skin Pathology Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376970236 PECOS PAC ID: 9537395652 Enrollment ID: O20140110000745

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. Luis Antonio Sardina Pena 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
Luis Antonio Sardina Pena, MD University Of New Mexico, Albuquerque, NM 87131-4306 Ph: (332) 250-5223	Luis Antonio Sardina Pena, MD University Of New Mexico, Albuquerque, NM 87131-5364 Ph: (216) 444-2200

Luis Antonio Sardina Pena, MD - Medicare Student in an Organized Health Care Education/Training Program in Albuquerque, NM