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

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Dr Evan James Cretney, MD is a medicare enrolled "Otolaryngology" physician in Sheboygan, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Aurora Medical Group, Inc. and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528563442.

Contact Information

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

Map and Direction




Physician's Profile

Full NameDr Evan James Cretney
GenderMale
SpecialityOtolaryngology
Experience7 Years
Location2414 Kohler Memorial Drive, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Evan James Cretney attended and graduated from University Of Wisconsin School Of Medicine in 2018
  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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Sheboygan Memorial Medical CtrSheboygan, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583491

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

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

Reviews and Comments


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: Medicare Enrolled
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    

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.