Gerald Angelo Ciccotelli Jr, RN - Registered Nurse in Detroit, MI

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Gerald Angelo Ciccotelli Jr, RN is a Registered Nurse - General Practice based in Detroit, Michigan. Gerald Angelo Ciccotelli Jr is licensed to practice in Michigan (license number 4704187346) and his current practice location is 4646 John R St, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (313) 576-1000.

NPI number for Gerald Angelo Ciccotelli Jr is 1689388282 and his current mailing address is 4646 John R St, Detroit, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689388282.

Contact Information

Gerald Angelo Ciccotelli Jr, RN
4646 John R St,
Detroit, MI 48201-1916
(313) 576-1000
Not Available

Map and Direction




Provider's Profile

Full NameGerald Angelo Ciccotelli Jr
GenderMale
SpecialityRegistered Nurse - General Practice
Location4646 John R St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689388282
  • Provider Enumeration Date: 01/09/2023
  • Last Update Date: 01/09/2023

Medical Identifiers

Medical identifiers for Gerald Angelo Ciccotelli Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689388282NPI-NPPES
23080MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 4704187346 (Michigan)Primary
163WE0003XRegistered Nurse - Emergency 4704187346 (Michigan)Secondary

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. Gerald Angelo Ciccotelli Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gerald Angelo Ciccotelli Jr, RN
4646 John R St,
Detroit, MI 48201-1916

Ph: (313) 576-1000		Gerald Angelo Ciccotelli Jr, RN
4646 John R St,
Detroit, MI 48201-1916

Ph: (313) 576-1000

Reviews and Comments


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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.