Wanda Santos Ciulla, PHYSICIAN ASSISTANT - Physician Assistant in Paris, IL

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.

Contact Information

Wanda Santos Ciulla, PHYSICIAN ASSISTANT
509 S Main St,
Paris, IL 61944-2325
(217) 465-8053
Not Available



Physician's Profile

Full NameWanda Santos Ciulla
GenderFemale
SpecialityPhysician Assistant - Medical
Location509 S Main St, Paris, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  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.
IdentifierTypeStateIssuer
1417460833NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 085000243 (New York)Secondary
363A00000XPhysician Assistant 085000243 (New York)Secondary
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine 085000243 (New York)Secondary
363AM0700XPhysician Assistant - Medical 085000243 (Illinois)Secondary
363AM0700XPhysician 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 AddressPractice 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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