Dr John Revelis, MD | |
2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | |
(920) 457-4461 | |
(920) 459-1152 |
Full Name | Dr John Revelis |
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Gender | Male |
Speciality | Otolaryngology |
Experience | 28 Years |
Location | 2414 Kohler Memorial Dr, Sheboygan, 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 |
---|---|---|---|
1437266780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 43016 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Dr John Revelis, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326 | Dr John Revelis, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461 |
Dr. Evan James Cretney, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Drive, Sheboygan, WI 53081 Phone: 920-457-4461 | |
P Perry Phillips, MD Otolaryngology Medicare: Accepting Medicare Assignments 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 |