Jeffrey Lawrence Crecelius, MD - Medicare Neurosurgery in Waukesha, WI

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Jeffrey Lawrence Crecelius, MD is a medicare enrolled "Neurological Surgery" physician in Waukesha, Wisconsin. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is 721 American Ave Ste 108, Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 928-8200.

Jeffrey Lawrence Crecelius is licensed to practice in Wisconsin (license number 69263-20) 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 1477521573.

Contact Information

Jeffrey Lawrence Crecelius, MD
721 American Ave Ste 108,
Waukesha, WI 53188-5071
(262) 928-8200
Not Available

Map and Direction




Physician's Profile

Full NameJeffrey Lawrence Crecelius
GenderMale
SpecialityNeurosurgery
Experience44 Years
Location721 American Ave Ste 108, Waukesha, 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:
  • Jeffrey Lawrence Crecelius graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1477521573
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 03/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840368866
  • Enrollment ID: I20180711000152

Medical Identifiers

Medical identifiers for Jeffrey Lawrence Crecelius such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477521573NPI-NPPES
10824947OtherINCAQH NUMBER
000000580227OtherINANTHEM BLUE CROSS AND BLUE SHIELD
100087570MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 01036963A (Indiana)Secondary
207T00000XNeurological Surgery 69263-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416

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. Jeffrey Lawrence Crecelius allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066

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. Jeffrey Lawrence Crecelius 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
Jeffrey Lawrence Crecelius, MD
8333 Naab Rd, Suite 250,
Indianapolis, IN 46260-5924

Ph: (317) 396-1300		Jeffrey Lawrence Crecelius, MD
721 American Ave Ste 108,
Waukesha, WI 53188-5071

Ph: (262) 928-8200

Reviews and Comments


Neurological Surgery Doctors in Waukesha, WI

Dr. Christopher King, D.O.
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 1111 Delafield St Ste 105, Waukesha, WI 53188
Phone: 262-542-9503    Fax: 262-542-8447
Randy L Gehring, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 721 American Ave Ste 108, Waukesha, WI 53188
Phone: 262-928-8200    

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.