Dr Jeremy Ryan Ciullo, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Warren, Michigan. He went to Wayne State University School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Michigan Surgery Specialists Pc and his current practice location is
11012 E 13 Mile Rd Ste 112, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 573-5880.
Dr Jeremy Ryan Ciullo is licensed to practice in Michigan (license number 4301094921) 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 1265660062.
Physician's Profile
| Full Name | Dr Jeremy Ryan Ciullo |
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| Gender | Male |
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| Speciality | Hand Surgery |
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| Experience | 16 Years |
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| Location | 11012 E 13 Mile Rd Ste 112, Warren, Michigan |
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| 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 Jeremy Ryan Ciullo attended and graduated from Wayne State University School Of Medicine in 2009
NPI Data:
- NPI Number: 1265660062
- Provider Enumeration Date: 06/30/2009
- Last Update Date: 05/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436444676
- Enrollment ID: I20160826000393
Medical Identifiers
Medical identifiers for Dr Jeremy Ryan Ciullo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265660062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0105X | Surgery - Surgery Of The Hand | 4301094831 (Michigan) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 4301094921 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Michigan Surgery Specialists Pc | 7113835075 | 27 |
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 Jeremy Ryan Ciullo allows following entities to bill medicare on his behalf.
| Entity Name | Michigan Surgery Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184828451 PECOS PAC ID: 7113835075 Enrollment ID: O20040302001010 |
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| Entity Name | University Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
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| Entity Name | Vhs Physicians Of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849 |
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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. Dr Jeremy Ryan Ciullo 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 Jeremy Ryan Ciullo, MD 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 Ph: (586) 751-3380 | Dr Jeremy Ryan Ciullo, MD 11012 E 13 Mile Rd Ste 112, Warren, MI 48093 Ph: (586) 573-5880 |
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