Benjamin Keith Gudorf, CNP in Rockford, OH - Medicare Nurse Practitioner

Benjamin Keith Gudorf, CNP is a medicare enrolled "Nurse Practitioner - Family" in Rockford, Ohio. He went to University Of Cincinnati College Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice M E D F Physicians Corporation and his current practice location is 506 S Main St, Rockford, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 363-3008.

Benjamin Keith Gudorf is licensed to practice in Ohio (license number APRN.CNP.021214) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740704857.

Contact Information

	Benjamin Keith Gudorf, CNP
	506 S Main St, Rockford, OH 45882-9228
	(419) 363-3008
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Keith Gudorf
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	506 S Main St, Rockford, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin Keith Gudorf attended and graduated from University Of Cincinnati College Of Medicine in 2017

NPI Data:

NPI Number: 1740704857
Provider Enumeration Date: 07/31/2017
Last Update Date: 03/12/2025

Medicare PECOS Information:

PECOS PAC ID: 7113254392
Enrollment ID: I20190809002747

Medical Identifiers

Medical identifiers for Benjamin Keith Gudorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740704857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.021214 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercer County Joint Township Community Hospital	Coldwater, OH	Hospital
Van Wert County Hospital	Van wert, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
M E D F Physicians Corporation	9133109903	46

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. Benjamin Keith Gudorf allows following entities to bill medicare on his behalf.

Entity Name	Ohiohealth Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532

Entity Name	M E D F Physicians Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417992710 PECOS PAC ID: 9133109903 Enrollment ID: O20040722000452

Entity Name	Van Wert Medical Services Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942268735 PECOS PAC ID: 5799707402 Enrollment ID: O20051222000076

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. Benjamin Keith Gudorf 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
Benjamin Keith Gudorf, CNP Po Box 7527, Dublin, OH 43017-0727 Ph: () -	Benjamin Keith Gudorf, CNP 506 S Main St, Rockford, OH 45882-9228 Ph: (419) 363-3008

Reviews and Comments

Nurse Practitioner Nurses in Rockford, OH

Morgan Ashley Hunter, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 S Main St, Rockford, OH 45882 Phone: 419-363-3008 Fax: 419-363-2093
Shelby Elizabeth Linn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11854 Hill Rd, Rockford, OH 45882 Phone: 419-605-6106
Lisa Renee Rolfes, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 S Main St, Rockford, OH 45882 Phone: 419-363-3008
Jaci Allmandinger, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 S Main St, Rockford, OH 45882 Phone: 419-363-3008 Fax: 419-363-2093

Benjamin Keith Gudorf, CNP - Medicare Nurse Practitioner in Rockford, OH