Wanda Santos Ciulla, PHYSICIAN ASSISTANT is a
Physician Assistant - Medical physician based in Paris, Illinois. Wanda Santos Ciulla is licensed to practice in New York (license number 085000243) and her current practice location is 509 S Main St, Paris, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 465-8053.
NPI number for Wanda Santos Ciulla is 1417460833 and her current mailing address is 10027 Indian Boundary St, Paris, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417460833
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 11/07/2017
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
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 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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