Kevin Ciriacks, MD is a medicare enrolled "Dermatology" physician in Sussex, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2015 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is
N57w24950 N Corporate Cir, Sussex, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 820-3093.
Kevin Ciriacks is licensed to practice in Wisconsin (license number 71378) 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 1740675099.
Physician's Profile
Full Name | Kevin Ciriacks |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 9 Years |
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Location | N57w24950 N Corporate Cir, Sussex, Wisconsin |
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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:
- Kevin Ciriacks attended and graduated from Medical College Of Wisconsin in 2015
NPI Data:
- NPI Number: 1740675099
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 09/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264721711
- Enrollment ID: I20190911002621
Medical Identifiers
Medical identifiers for Kevin Ciriacks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740675099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 71378 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Prohealth Medical Group Inc | 3476465188 | 416 |
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. Kevin Ciriacks allows following entities to bill medicare on his behalf.
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
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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. Kevin Ciriacks 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 |
Kevin Ciriacks, MD N57w24950 N Corporate Cir, Sussex, WI 53089-4383 Ph: (262) 820-3093 | Kevin Ciriacks, MD N57w24950 N Corporate Cir, Sussex, WI 53089-4383 Ph: (262) 820-3093 |
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