Steven R Evelhoch, MD is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Peoria, Illinois. His current practice location is
530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 624-4012.
Steven R Evelhoch is licensed to practice in Illinois (license number 036170882) 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 1972667160.
Physician's Profile
| Full Name | Steven R Evelhoch |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972667160
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 04/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 0143273201
- Enrollment ID: I20050301000429
Medical Identifiers
Medical identifiers for Steven R Evelhoch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972667160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 58017 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 43784 (Tennessee) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 036170882 (Illinois) | Primary |
| 207Y00000X | Otolaryngology | 42940-20 (Wisconsin) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9125 (Tennessee) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | S16 (Minnesota) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 08452 (Iowa) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 37013 (Iowa) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 37013 (Iowa) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 43784 (Tennessee) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3558 (Wisconsin) | Secondary |
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. Steven R Evelhoch allows following entities to bill medicare on his behalf.
| Entity Name | Marshfield Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590 |
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| Entity Name | Mchs Hospitals Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096 |
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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. Steven R Evelhoch 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 Address | Practice Location Address |
|---|
Steven R Evelhoch, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
Ph: (309) 624-4012 | Steven R Evelhoch, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
Ph: (309) 624-4012 |
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