Ellen Middendorf, MD - Medicare Family Medicine in Belleville, IL

Ellen Middendorf, MD is a medicare enrolled "Family Medicine" physician in Belleville, Illinois. Her current practice location is 4600 Memorial Dr, Ste. 160, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 235-0460.

Ellen Middendorf is licensed to practice in Illinois (license number 036-108143) 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 1245234988.

Contact Information

Ellen Middendorf, MD
4600 Memorial Dr, Ste. 160,
Belleville, IL 62226-5368
(618) 235-0460
(618) 235-1464



Physician's Profile

Full NameEllen Middendorf
GenderFemale
SpecialityFamily Medicine
Location4600 Memorial Dr, Belleville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245234988
  • Provider Enumeration Date: 06/10/2005
  • Last Update Date: 05/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6608772165
  • Enrollment ID: I20160620001876

Medical Identifiers

Medical identifiers for Ellen Middendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245234988NPI-NPPES
036108143MedicaidIL
1245234988MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036-108143 (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. Ellen Middendorf 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
Ellen Middendorf, MD
4600 Memorial Dr, Ste. 160,
Belleville, IL 62226-5368

Ph: (618) 235-0460
Ellen Middendorf, MD
4600 Memorial Dr, Ste. 160,
Belleville, IL 62226-5368

Ph: (618) 235-0460

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Family Medicine Doctors in Belleville, IL

Wallace K Abel, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 311 W Lincoln St Ste 200, Belleville, IL 62220
Phone: 618-234-2566    Fax: 618-234-5650
Dr. Shannon Erin Witty, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St Ste 400, Belleville, IL 62220
Phone: 618-233-7880    
Dr. Victoria Oluwaseun Spencer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Naveen Kumar Reddy Bondalapati, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-233-3066    Fax: 618-257-6679
David J Nyquist, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    Fax: 618-257-6679
Niraj J Shah, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226
Phone: 618-767-7000    
Brett Allen Nance, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 180 S 3rd St, Suite 400, Belleville, IL 62220
Phone: 618-233-7880    Fax: 618-222-4792

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