Mary Ludolph, MD in Springfield, IL - Medicare Diagnostic Radiology

Mary Ludolph, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Springfield, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1999 and has 26 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Springfield Clinic, Llp and her current practice location is 3050 Montvale Dr Ste A, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 726-8096.

Mary Ludolph is licensed to practice in Illinois (license number 036114091) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376580225.

Contact Information

	Mary Ludolph, MD
	3050 Montvale Dr Ste A, Springfield, IL 62704-6924
	(217) 726-8096
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Ludolph
Gender	Female
Speciality	Diagnostic Radiology
Experience	26 Years
Location	3050 Montvale Dr Ste A, Springfield, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Ludolph attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1999

NPI Data:

NPI Number: 1376580225
Provider Enumeration Date: 06/01/2006
Last Update Date: 08/04/2015

Medicare PECOS Information:

PECOS PAC ID: 8729011838
Enrollment ID: I20050917000449

Medical Identifiers

Medical identifiers for Mary Ludolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376580225	NPI	-	NPPES
036114091	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	036114091 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital
Taylorville Memorial Hospital	Taylorville, IL	Hospital
Abraham Lincoln Memorial Hospital	Lincoln, IL	Hospital
St Johns Hospital	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Springfield Clinic, Llp	0547166076	655

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. Mary Ludolph allows following entities to bill medicare on her behalf.

Entity Name	Crawford Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950

Entity Name	Springfield Clinic, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Mary Ludolph 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
Mary Ludolph, MD 2040 W Iles Ave, Suite C, Springfield, IL 62704-4183 Ph: (217) 789-0668	Mary Ludolph, MD 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 Ph: (217) 726-8096

Reviews and Comments

Radiology Doctors in Springfield, IL

Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Medicare Enrolled Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464

Mary Ludolph, MD - Medicare Diagnostic Radiology in Springfield, IL