Stephen T Cruz, MD - Medicare Family Practice in Neenah, WI

Stephen T Cruz, MD is a medicare enrolled "Family Medicine" physician in Neenah, Wisconsin. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bellin Memorial Hospital Inc and his current practice location is 101 Main St, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 727-5810.

Stephen T Cruz is licensed to practice in Wisconsin (license number 41787) 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 1043204951.

Contact Information

Stephen T Cruz, MD
101 Main St,
Neenah, WI 54956-2570
(920) 727-5810
Not Available

Map and Direction




Physician's Profile

Full NameStephen T Cruz
GenderMale
SpecialityFamily Practice
Experience31 Years
Location101 Main St, Neenah, 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:
  • Stephen T Cruz attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1043204951
  • Provider Enumeration Date: 09/07/2005
  • Last Update Date: 03/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284764036
  • Enrollment ID: I20100604001046

Medical Identifiers

Medical identifiers for Stephen T Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043204951NPI-NPPES
34101500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 41787 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bellin Memorial HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bellin Memorial Hospital Inc8820900749513

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. Stephen T Cruz allows following entities to bill medicare on his behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089

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. Stephen T Cruz 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
Stephen T Cruz, MD
Po Box 22487,
Green Bay, WI 54305-2487

Ph: (920) 445-7226
Stephen T Cruz, MD
101 Main St,
Neenah, WI 54956-2570

Ph: (920) 727-5810

Reviews and Comments


Family Medicine Doctors in Neenah, WI

Krystina Marie Pischke,
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Medicare: Accepting Medicare Assignments
Practice Location: 1504 S Commercial St, Neenah, WI 54956
Phone: 920-729-6088    Fax: 920-729-6484
Andrew Michael Dunn, D.O
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Practice Location: 333 N Green Bay Rd, Neenah, WI 54956
Phone: 920-729-6088    
Teresa L Rudolph, MD
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Practice Location: 1504 S Commercial St, Neenah, WI 54956
Phone: 920-729-6088    Fax: 920-729-6484
Erik A Emaus, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 411 Lincoln St, Neenah, WI 54956
Phone: 920-720-1781    Fax: 920-720-1790
Tomasz K Miaskowski, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Main St, Neenah, WI 54956
Phone: 920-727-5810    
Mikayla Marie Unger, APNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 130 2nd St, Neenah, WI 54956
Phone: 920-729-3100    

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.