Wanda Santos Ciulla, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" physician in Paris, Illinois. Her current practice location is
509 S Main St, Paris, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 465-8053.
Wanda Santos Ciulla is licensed to practice in New York (license number 085000243) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417460833.
Physician's Profile
| Full Name | Wanda Santos Ciulla |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 509 S Main St, Paris, 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: 1417460833
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 11/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 3375080591
- Enrollment ID: I20240806003205
Medical Identifiers
Medical identifiers for Wanda Santos Ciulla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417460833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 085000243 (New York) | Secondary |
| 363A00000X | Physician Assistant | 085000243 (New York) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 085000243 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 085000243 (Illinois) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 085000243 (New York) | Primary |
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. Wanda Santos Ciulla allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451 |
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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. Wanda Santos Ciulla 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 |
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Wanda Santos Ciulla, PHYSICIAN ASSISTANT
10027 Indian Boundary St,
Paris, IL 61944-8253
Ph: (217) 465-5442 | Wanda Santos Ciulla, PHYSICIAN ASSISTANT
509 S Main St,
Paris, IL 61944-2325
Ph: (217) 465-8053 |
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