Mr Keith Michael Ladendorf, PA-C in Chicago, IL

Mr Keith Michael Ladendorf, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Chicago, Illinois. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Cardiac Surgery Associates Sc and his current practice location is 7447 W Talcott Avenue, Suite 512, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 788-1553.

Mr Keith Michael Ladendorf is licensed to practice in Illinois (license number 085002545) 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 1619092095.

Contact Information

	Mr Keith Michael Ladendorf, PA-C
	7447 W Talcott Avenue, Suite 512, Chicago, IL 60631
	(847) 788-1553
	(773) 577-8187

Map and Direction

Provider's Profile

Full Name	Mr Keith Michael Ladendorf
Gender	Male
Speciality	Physician Assistant
Experience	19 Years
Location	7447 W Talcott Avenue, 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:

Mr Keith Michael Ladendorf graduated from nursing school in 2005

NPI Data:

NPI Number: 1619092095
Provider Enumeration Date: 03/21/2007
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5698789402
Enrollment ID: I20060201000184

Medical Identifiers

Medical identifiers for Mr Keith Michael Ladendorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619092095	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	085002545 (Illinois)	Primary
363AS0400X	Physician Assistant - Surgical	085-002545 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amita Health Resurrection Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cardiac Surgery Associates Sc	2860304102	39

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 Keith Michael Ladendorf 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 Keith Michael Ladendorf, PA-C 2650 Warrenville Road, Suite 280, Downers Grove, IL 60515 Ph: (630) 324-7911	Mr Keith Michael Ladendorf, PA-C 7447 W Talcott Avenue, Suite 512, Chicago, IL 60631 Ph: (847) 788-1553

Reviews and Comments

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Mr Keith Michael Ladendorf, PA-C - Medicare Physician Assistant in Chicago, IL