Dr Debra L Ciasulli, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Park Falls, Wisconsin. Her current practice location is
50 Sherry Ave, Park Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 762-3212.
Dr Debra L Ciasulli is licensed to practice in Wisconsin (license number 61100) 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 1104082452.
Physician's Profile
| Full Name | Dr Debra L Ciasulli |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 50 Sherry Ave, Park Falls, Wisconsin |
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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: 1104082452
- Provider Enumeration Date: 08/05/2008
- Last Update Date: 10/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 2961638598
- Enrollment ID: I20151124000645
Medical Identifiers
Medical identifiers for Dr Debra L Ciasulli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104082452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 125063682 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 125063682 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 61100 (Wisconsin) | Primary |
| 207R00000X | Internal Medicine | 61100 (Wisconsin) | Secondary |
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 Debra L Ciasulli allows following entities to bill medicare on her behalf.
| Entity Name | Wyellis Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770117475
PECOS PAC ID: 6608206800
Enrollment ID: O20200429002856 |
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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 Debra L Ciasulli 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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Dr Debra L Ciasulli, MD
1000 N Oak Ave,
Marshfield, WI 54449-5703
Ph: (715) 387-5511 | Dr Debra L Ciasulli, MD
50 Sherry Ave,
Park Falls, WI 54552-1467
Ph: (715) 762-3212 |
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