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. |
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 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 |
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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