Ryan Puccia, MD is a medicare enrolled "Otolaryngology" physician in Wauwatosa, Wisconsin. He went to Indiana University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice The Medical College Of Wisconsin Inc, Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and his current practice location is
1155 N Mayfair Rd Dept Of, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 955-5990.
Ryan Puccia is licensed to practice in Wisconsin (license number 70160) 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 1104357425.
Physician's Profile
| Full Name | Ryan Puccia |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 7 Years |
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| Location | 1155 N Mayfair Rd Dept Of, Wauwatosa, 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. |
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Medical Education and Training:
- Ryan Puccia attended and graduated from Indiana University School Of Medicine in 2017
NPI Data:
- NPI Number: 1104357425
- Provider Enumeration Date: 03/27/2017
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446590806
- Enrollment ID: I20230925003608
Medical Identifiers
Medical identifiers for Ryan Puccia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104357425 | NPI | - | NPPES |
| 1104357425 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 70160 (Wisconsin) | Secondary |
| 207Y00000X | Otolaryngology | 70160 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Medical College Of Wisconsin Inc | 2668384371 | 1736 |
| Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
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. Ryan Puccia allows following entities to bill medicare on his behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699 |
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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. Ryan Puccia 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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Ryan Puccia, MD
1155 N Mayfair Rd Dept Of,
Wauwatosa, WI 53226-3462
Ph: (414) 955-5990 | Ryan Puccia, MD
1155 N Mayfair Rd Dept Of,
Wauwatosa, WI 53226-3462
Ph: (414) 955-5990 |
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