| Dr Rudolph Francis Evonich Iii, MD | |
|
744 S Webster Ave Fl 2, Green Bay, WI 54301-3505 | |
| (920) 433-3640 | |
| (920) 433-3716 |
| Full Name | Dr Rudolph Francis Evonich Iii |
|---|---|
| Gender | Male |
| Speciality | Cardiac Electrophysiology |
| Experience | 25 Years |
| Location | 744 S Webster Ave Fl 2, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205909967 | NPI | - | NPPES |
| P00412659 | Other | RAILROAD MEDICARE | |
| 0605210971 | Other | MI | BLUE CROSS BLUE SHIELD |
| 5184312 | Medicaid | MI | |
| 34966000 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
| Door County Medical Center | Sturgeon bay, WI | Hospital |
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconto Hospital And Medical Center Inc | 2163461781 | 188 |
| St Francis Hospital | 5991604753 | 69 |
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
| Oconto Hospital And Medical Center Inc | 2163461781 | 188 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
| Entity Name | St Francis Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700828837 PECOS PAC ID: 5991604753 Enrollment ID: O20031231000428 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376649509 PECOS PAC ID: 8820900749 Enrollment ID: O20061218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rudolph Francis Evonich Iii, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7222 | Dr Rudolph Francis Evonich Iii, MD 744 S Webster Ave Fl 2, Green Bay, WI 54301-3505 Ph: (920) 433-3640 |
Amritha Chandrahasa Karkera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Dr. Pamela Rani Sud, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-7451 | |
Yaw D Berko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Kevin L Mortara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 | |
William T Witmer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305 | |
Jay Matthew Salmon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 |