Keith D Levendorf, MD - Medicare Anesthesiology in Mansfield, OH

Keith D Levendorf, MD is a medicare enrolled "Anesthesiology" physician in Mansfield, Ohio. His current practice location is 335 Glessner Ave, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 526-8768.

Keith D Levendorf is licensed to practice in Ohio (license number 35052841L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164527362.

Contact Information

Keith D Levendorf, MD
335 Glessner Ave,
Mansfield, OH 44903-2269
(419) 526-8768
(419) 522-4697



Physician's Profile

Full NameKeith D Levendorf
GenderMale
SpecialityAnesthesiology
Location335 Glessner Ave, Mansfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164527362
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9537072475
  • Enrollment ID: I20091110000174

Medical Identifiers

Medical identifiers for Keith D Levendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164527362NPI-NPPES
000000233866OtherOHANTHEM
0610726MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 35052841L (Ohio)Primary

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. Keith D Levendorf 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

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Entity NameCleveland Anesthesia Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154407955
PECOS PAC ID: 7113830050
Enrollment ID: O20031107000151

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Entity NameOhiohealth Regional Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538552468
PECOS PAC ID: 9739496902
Enrollment ID: O20150921001772

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Entity NameAultman Deuble Heart & Vascular Hospital, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306495718
PECOS PAC ID: 1850726126
Enrollment ID: O20200114002347

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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. Keith D Levendorf 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
Keith D Levendorf, MD
308 Glessner Ave,
Mansfield, OH 44903-2225

Ph: (419) 526-8768
Keith D Levendorf, MD
335 Glessner Ave,
Mansfield, OH 44903-2269

Ph: (419) 526-8768

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› Verified 5 days ago


Anesthesiology Doctors in Mansfield, OH

David Philip Kallile, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 799 Lexington Ave, Mansfield, OH 44907
Phone: 419-756-5133    
Dr. Vasanti K Desai, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 335 Glessner Ave, Mansfield, OH 44903
Phone: 419-526-8000    
Dr. John Parkinson, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 799 Lexington Ave, Mansfield, OH 44907
Phone: 419-756-5133    Fax: 419-774-9707
Dr. Gary S. Freeman, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 335 Glessner Ave, Mansfield, OH 44903
Phone: 419-526-8768    Fax: 419-522-4697
Dr. Nikhil M Doshi, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 799 Lexington Ave, Mansfield, OH 44907
Phone: 419-756-5133    Fax: 419-774-9707
Dr. David F Ott, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 799 Lexington Ave, Mansfield, OH 44907
Phone: 419-756-5133    Fax: 419-774-9707

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