Dr Rudolph Francis Evonich Iii, MD in Green Bay, WI - Medicare Cardiac Electrophysiology

Dr Rudolph Francis Evonich Iii, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Green Bay, Wisconsin. He went to Michigan State University College Of Human Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Bellin Memorial Hospital Inc, Oconto Hospital And Medical Center Inc, Froedtert Manitowoc Medical Group, Llc, St Francis Hospital, Bellin Memorial Hospital Inc and his current practice location is 744 S Webster Ave Fl 2, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-3640.

Dr Rudolph Francis Evonich Iii is licensed to practice in Wisconsin (license number 77869-20) 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 1205909967.

Contact Information

	Dr Rudolph Francis Evonich Iii, MD
	744 S Webster Ave Fl 2, Green Bay, WI 54301-3505
	(920) 433-3640
	(920) 433-3716

Map and Direction

Physician's Profile

Full Name	Dr Rudolph Francis Evonich Iii
Gender	Male
Speciality	Cardiac Electrophysiology
Experience	24 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.

Medical Education and Training:

Dr Rudolph Francis Evonich Iii attended and graduated from Michigan State University College Of Human Medicine in 2000

NPI Data:

NPI Number: 1205909967
Provider Enumeration Date: 11/17/2006
Last Update Date: 04/10/2023

Medicare PECOS Information:

PECOS PAC ID: 9537269055
Enrollment ID: I20070713000159

Medical Identifiers

Medical identifiers for Dr Rudolph Francis Evonich Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205909967	NPI	-	NPPES
P00412659	Other		RAILROAD MEDICARE
0605210971	Other	MI	BLUE CROSS BLUE SHIELD
5184312	Medicaid	MI
34966000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	21241-875 (Wisconsin)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	4301076776 (Michigan)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	77869-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bellin Memorial Hospital	Green bay, WI	Hospital
Holy Family Memorial	Manitowoc, WI	Hospital
Osf St Francis Hospital And Medical Group	Escanaba, MI	Hospital
Door County Medical Center	Sturgeon bay, WI	Hospital
Bellin Health Oconto Hospital	Oconto, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bellin Memorial Hospital Inc	8820900749	533
Oconto Hospital And Medical Center Inc	2163461781	193
Froedtert Manitowoc Medical Group, Llc	2365836954	118
St Francis Hospital	5991604753	55
Bellin Memorial Hospital Inc	8820900749	533

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 Rudolph Francis Evonich Iii allows following entities to bill medicare on his behalf.

Entity Name	St Francis Hospital
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

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 Rudolph Francis Evonich Iii 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
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

Reviews and Comments

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Amritha Chandrahasa Karkera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
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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
Dr. Alay Mansurov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659

Dr Rudolph Francis Evonich Iii, MD - Medicare Cardiac Electrophysiology in Green Bay, WI