Carol D Luzzi

MD | Pediatric Neonatal-Perinatal Medicine | Female

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Complete Profile:

Carol D Luzzi basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Neonatal-Perinatal Medicine
Provider Name :	Carol D Luzzi
Credential :	MD
Gender :	Female

Business Address:

Carol D Luzzi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 Navarre Pl, Suite 5550 South Bend, IN, 46601-1156 United States
Phone Number :	574-647-2550
Fax Number :	574-647-2549

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1881764579
NPI Entity Type :	Individual
First Enrolment Date :	09 Nov, 2006
Last Updated On :	30 Mar, 2021

Medicare Participation:

Carol D Luzzi participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7618053927
Medicare Enrollment ID :	I20080327000278
Primary Specialty :	Pediatric Medicine
Medical School :	Oakland College Of Medicine And Surgery
Graduation Year :	1980
Accepts Medicare?	Yes. Carol D Luzzi accepts medicare insurance.

Group Practice Association:

Carol D Luzzi is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Carol D Luzzi is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Beacon Medical Group Inc	1254243306	450	100 Navarre Pl South Bend, IN - 466011169	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol D Luzzi are as mentioned. Primary taxonomy code for Carol D Luzzi, MD is 2080N0001X (Pediatrics Neonatal-Perinatal Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	01064266A	IN
2080N0001X	Pediatrics Neonatal-Perinatal Medicine	Yes	01064266A	IN

Legacy Identifiers:

Other legacy medical identifiers of Carol D Luzzi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200116740	MEDICAID	IN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	710 N Niles Ave South Bend, IN, 46617-1924 United States
Phone Number :	574-647-1610
Fax Number :	574-237-6069

Business Location:

Patients can refer following map for directions to Carol D Luzzi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.