Mark Loren Keldahl, MD in Chicago, IL - Medicare Vascular Surgery

Mark Loren Keldahl, MD is a medicare enrolled "Surgery" physician in Chicago, Illinois. He went to Rush Medical College Of Rush University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 3000 N. Halsted St., Suite 703, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 296-3390.

Mark Loren Keldahl is licensed to practice in Illinois (license number 036-117220) 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 1114181658.

Contact Information

	Mark Loren Keldahl, MD
	3000 N. Halsted St., Suite 703, Chicago, IL 60657
	(773) 296-3390
	(773) 296-7531

Map and Direction

Physician's Profile

Full Name	Mark Loren Keldahl
Gender	Male
Speciality	Vascular Surgery
Experience	20 Years
Location	3000 N. Halsted St., Chicago, Illinois
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:

Mark Loren Keldahl attended and graduated from Rush Medical College Of Rush University in 2004

NPI Data:

NPI Number: 1114181658
Provider Enumeration Date: 07/14/2008
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7719155381
Enrollment ID: I20110726000565

Medical Identifiers

Medical identifiers for Mark Loren Keldahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114181658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036117220 (Illinois)	Secondary
2086S0129X	Surgery - Vascular Surgery	59517 (Tennessee)	Secondary
208600000X	Surgery	036-117220 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advocate Illinois Masonic Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocate Health And Hospitals Corporation	7810800935	2484

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. Mark Loren Keldahl allows following entities to bill medicare on his behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Mark Loren Keldahl 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
Mark Loren Keldahl, MD 3000 N. Halsted St., Suite 703, Chicago, IL 60657 Ph: (773) 296-3390	Mark Loren Keldahl, MD 3000 N. Halsted St., Suite 703, Chicago, IL 60657 Ph: (773) 296-3390

Reviews and Comments

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Mark Loren Keldahl, MD - Medicare Vascular Surgery in Chicago, IL