Dr Evan James Cretney, MD - Medicare Otolaryngology in Sheboygan, WI

Dr Evan James Cretney, MD is a medicare enrolled "Otolaryngology" physician in Sheboygan, Wisconsin. His current practice location is 2414 Kohler Memorial Drive, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 457-4461.

Dr Evan James Cretney is licensed to practice in Wisconsin (license number 81319) 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 1528563442.

Contact Information

Dr Evan James Cretney, MD
2414 Kohler Memorial Drive,
Sheboygan, WI 53081
(920) 457-4461
Not Available



Physician's Profile

Full NameDr Evan James Cretney
GenderMale
SpecialityOtolaryngology
Location2414 Kohler Memorial Drive, Sheboygan, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528563442
  • Provider Enumeration Date: 03/25/2018
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537417134
  • Enrollment ID: I20230913001861

Medical Identifiers

Medical identifiers for Dr Evan James Cretney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528563442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MT216241 (Pennsylvania)Secondary
207Y00000XOtolaryngology 81319 (Wisconsin)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. Dr Evan James Cretney allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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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. Dr Evan James Cretney 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 Evan James Cretney, MD
2414 Kohler Memorial Drive,
Sheboygan, WI 53081

Ph: (920) 400-9665
Dr Evan James Cretney, MD
2414 Kohler Memorial Drive,
Sheboygan, WI 53081

Ph: (920) 457-4461

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Otolaryngology Doctors in Sheboygan, WI

Dr. John Revelis, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    Fax: 920-459-1152
P Perry Phillips, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2629 N 7th St, Sheboygan, WI 53083
Phone: 920-451-5000    
Dr. Edward Lawrence Smith, D.O.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081
Phone: 616-735-3257    

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