Dr Todd L Engdahl, MD in Marion, IL - Medicare Emergency Medicine

Dr Todd L Engdahl, MD is a medicare enrolled "Emergency Medicine" physician in Marion, Illinois. His current practice location is 3333 W Deyoung St, Marion, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 998-7000.

Dr Todd L Engdahl is licensed to practice in Arkansas (license number E-14230) 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 1356330005.

Contact Information

	Dr Todd L Engdahl, MD
	3333 W Deyoung St, Marion, IL 62959-5884
	(618) 998-7000
	(618) 997-6589

Map and Direction

Physician's Profile

Full Name	Dr Todd L Engdahl
Gender	Male
Speciality	Emergency Medicine
Location	3333 W Deyoung St, Marion, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356330005
Provider Enumeration Date: 10/17/2005
Last Update Date: 09/08/2021

Medicare PECOS Information:

PECOS PAC ID: 8325095862
Enrollment ID: I20050406000605

Medical Identifiers

Medical identifiers for Dr Todd L Engdahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356330005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036113579 (Illinois)	Secondary
207P00000X	Emergency Medicine	036113579 (Ohio)	Secondary
207P00000X	Emergency Medicine	E-14230 (Arkansas)	Primary
207P00000X	Emergency Medicine	35101 (Kentucky)	Secondary

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. Dr Todd L Engdahl allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

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. Dr Todd L Engdahl 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
Dr Todd L Engdahl, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136	Dr Todd L Engdahl, MD 3333 W Deyoung St, Marion, IL 62959-5884 Ph: (618) 998-7000

Reviews and Comments

Emergency Medicine Doctors in Marion, IL

Kehinde M Ganiyu, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000
Miles Freeman Edward French, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11314 Limb Branch Ln, Marion, IL 62959 Phone: 618-997-6811
Ghanem Abusbeih, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000
Wroten Mcquirter, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 N Logan St, Apt. 3, Marion, IL 62959 Phone: 618-993-6683
Dr. William Michael Ediger, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311
Dr. Syed Hassan Khalid Jafri, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7492

Dr Todd L Engdahl, MD - Medicare Emergency Medicine in Marion, IL