Ellen Middendorf, MD in Belleville, IL - Medicare Family Medicine

Ellen Middendorf, MD is a medicare enrolled "Family Medicine" physician in Belleville, Illinois. Her current practice location is 4600 Memorial Dr, Ste. 160, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 235-0460.

Ellen Middendorf is licensed to practice in Illinois (license number 036-108143) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245234988.

Contact Information

	Ellen Middendorf, MD
	4600 Memorial Dr, Ste. 160, Belleville, IL 62226-5368
	(618) 235-0460
	(618) 235-1464

Map and Direction

Physician's Profile

Full Name	Ellen Middendorf
Gender	Female
Speciality	Family Medicine
Location	4600 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245234988
Provider Enumeration Date: 06/10/2005
Last Update Date: 05/24/2012

Medicare PECOS Information:

PECOS PAC ID: 6608772165
Enrollment ID: I20160620001876

Medical Identifiers

Medical identifiers for Ellen Middendorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245234988	NPI	-	NPPES
036108143	Medicaid	IL
1245234988	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036-108143 (Illinois)	Primary

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. Ellen Middendorf 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
Ellen Middendorf, MD 4600 Memorial Dr, Ste. 160, Belleville, IL 62226-5368 Ph: (618) 235-0460	Ellen Middendorf, MD 4600 Memorial Dr, Ste. 160, Belleville, IL 62226-5368 Ph: (618) 235-0460

Reviews and Comments

Family Medicine Doctors in Belleville, IL

Wallace K Abel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220 Phone: 618-234-2566 Fax: 618-234-5650
Dr. Shannon Erin Witty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220 Phone: 618-233-7880
Dr. Victoria Oluwaseun Spencer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679
Naveen Kumar Reddy Bondalapati, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-3066 Fax: 618-257-6679
David J Nyquist, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 Fax: 618-257-6679
Niraj J Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7000
Brett Allen Nance, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220 Phone: 618-233-7880 Fax: 618-222-4792

Ellen Middendorf, MD - Medicare Family Medicine in Belleville, IL