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

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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 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Van Wert Medical Services Ltd, Ohiohealth 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 NameBenjamin Keith Gudorf
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location506 S Main St, Rockford, Ohio
Accepts Medicare AssignmentsYes. 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: 03/25/2024
  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.
IdentifierTypeStateIssuer
1740704857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.021214 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Van Wert County HospitalVan wert, OHHospital
Mercer County Joint Township Community HospitalColdwater, OHHospital
Grand Lake Health SystemSaint marys, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Van Wert Medical Services Ltd579970740231
Ohiohealth Corporation63057584261940

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 NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameVan Wert Medical Services Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Medicare Enrolled
Practice Location: 506 S Main St, Rockford, OH 45882
Phone: 419-363-3008    Fax: 419-363-2093
Shelby Elizabeth Linn, NP
Nurse Practitioner
Medicare: Medicare Enrolled
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.