Dr Maylani Evangelista, - Medicare Dentist in Kenosha, WI

Dr Maylani Evangelista, is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Kenosha, Wisconsin. Her current practice location is 3410 80th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 697-0825.

Dr Maylani Evangelista is licensed to practice in Wisconsin (license number 5469) 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 1679612204.

Contact Information

Dr Maylani Evangelista,
3410 80th St,
Kenosha, WI 53142-4975
(262) 697-0825
(262) 697-0116

Map and Direction




Healthcare Provider's Profile

Full NameDr Maylani Evangelista
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location3410 80th St, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679612204
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2769784933
  • Enrollment ID: I20160105001193

Medical Identifiers

Medical identifiers for Dr Maylani Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679612204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 5469 (Wisconsin)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 Maylani Evangelista 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 Maylani Evangelista,
3410 80th St,
Kenosha, WI 53142-4975

Ph: (262) 697-0825
Dr Maylani Evangelista,
3410 80th St,
Kenosha, WI 53142-4975

Ph: (262) 697-0825

Reviews and Comments


Dentist in Kenosha, WI

Jane Lynn Reyerson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 7117 Green Bay Rd, Kenosha, WI 53142
Phone: 262-942-7000    Fax: 262-942-7117
Dr. Cesar D Gonzalez, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4536 22nd Ave, Kenosha, WI 53140
Phone: 262-656-0044    Fax: 262-653-2218
Dr. David J. Crewe, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3100 80th St, Kenosha, WI 53142
Phone: 262-694-2932    Fax: 262-694-3575
Dr. Tarah Marie Gerner, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 6226 14th Ave, Kenosha, WI 53143
Phone: 262-656-0044    
Dr. Edmund Jung,
Dentist
Medicare: Medicare Enrolled
Practice Location: 3715 Washington Rd, Kenosha, WI 53144
Phone: 262-654-6800    Fax: 262-657-9995
Dr. Jane Wright, DDS, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7851 Cooper Rd, Kenosha, WI 53142
Phone: 262-694-5272    
Jasjot Chahil, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6430 Green Bay Rd, Kenosha, WI 53142
Phone: 888-988-4066    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.