Dr Kelsey Mann Gradwohl, MD - Medicare Dermatology in Chicago, IL

Dr Kelsey Mann Gradwohl, MD is a medicare enrolled "Dermatology" physician in Chicago, Illinois. Her current practice location is 5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (773) 702-1611.

Dr Kelsey Mann Gradwohl is licensed to practice in Illinois (license number 125-079923) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568042521.

Contact Information

Dr Kelsey Mann Gradwohl, MD
5841 S Maryland Ave,
Chicago, IL 60637-1443
(773) 702-1611
Not Available



Physician's Profile

Full NameDr Kelsey Mann Gradwohl
GenderFemale
SpecialityDermatology
Location5841 S Maryland Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568042521
  • Provider Enumeration Date: 04/13/2021
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557721099
  • Enrollment ID: I20230717000885

Medical Identifiers

Medical identifiers for Dr Kelsey Mann Gradwohl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568042521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 125-079923 (Illinois)Primary

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. Dr Kelsey Mann Gradwohl 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
Dr Kelsey Mann Gradwohl, MD
5841 S. Maryland Ave M/c 5067,
Chicago, IL 60637-1443

Ph: (773) 702-1611
Dr Kelsey Mann Gradwohl, MD
5841 S Maryland Ave,
Chicago, IL 60637-1443

Ph: (773) 702-1611

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Dermatology Doctors in Chicago, IL

Edward Binghang Li, MD, PHD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 251 E Huron St, Chicago, IL 60611
Phone: 617-732-5500    
Joaquin Carlos Brieva, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611
Phone: 312-695-8106    Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601
Phone: 312-263-4625    Fax: 312-263-5029
Dr. James A Ida Jr., MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1663 W Carmen Ave, Chicago, IL 60640
Phone: 773-293-7500    
Erin M Ibler, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2148 N Damen Ave, Chicago, IL 60647
Phone: 773-938-8128    Fax: 773-938-8126
Dr. Stephen L Carter, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2148 N Damen Ave, Chicago, IL 60647
Phone: 773-938-8128    Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642
Phone: 773-276-1100    Fax: 773-276-1102

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