Mr Kenneth Francis Raderstorf Iii, NP in Elkhart, IN

Mr Kenneth Francis Raderstorf Iii, NP is a medicare enrolled "Nurse Practitioner - Family" in Elkhart, Indiana. He went to Indiana Medical College, School Of Medicine Of Purdue University and graduated in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Beacon Medical Group Inc and his current practice location is 3301 County Road 6 E, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 266-5342.

Mr Kenneth Francis Raderstorf Iii is licensed to practice in Indiana (license number 28222082A) 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 1023682416.

Contact Information

	Mr Kenneth Francis Raderstorf Iii, NP
	3301 County Road 6 E, Elkhart, IN 46514-7673
	(574) 266-5342
	(574) 266-5847

Map and Direction

Provider's Profile

Full Name	Mr Kenneth Francis Raderstorf Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	3301 County Road 6 E, Elkhart, Indiana
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:

Mr Kenneth Francis Raderstorf Iii attended and graduated from Indiana Medical College, School Of Medicine Of Purdue University in 2021

NPI Data:

NPI Number: 1023682416
Provider Enumeration Date: 05/19/2021
Last Update Date: 10/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8022412790
Enrollment ID: I20210803003525

Medical Identifiers

Medical identifiers for Mr Kenneth Francis Raderstorf Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023682416	NPI	-	NPPES
300065926	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28222082A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of South Bend	South bend, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	479

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. Mr Kenneth Francis Raderstorf Iii allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

Entity Name	Elite Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456

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. Mr Kenneth Francis Raderstorf Iii 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
Mr Kenneth Francis Raderstorf Iii, NP 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (547) 647-2129	Mr Kenneth Francis Raderstorf Iii, NP 3301 County Road 6 E, Elkhart, IN 46514-7673 Ph: (574) 266-5342

Reviews and Comments

Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ashley Marie Brunt, NURSE PRA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Arcade Ave Ste 400, Elkhart, IN 46514 Phone: 574-522-2284 Fax: 574-522-3952
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822

Mr Kenneth Francis Raderstorf Iii, NP - Medicare Nurse Practitioner in Elkhart, IN