JAMES M CERULLO PA-C
Accepted Insurance for NPI 1982960696
Physician Assistant in North Providence, RI

NPI Status: Active since April 06, 2012

Contact Information

200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904
Phone: (401) 456-3000

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with JAMES M CERULLO PA-C, a practicing physician assistant professional in North Providence, RI. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 26 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Insurance Carrier Navigation Index

Anthem Blue Cross and Blue Shield

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Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160103

Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160037

Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160106

Anthem Bronze Access Blue New England HMO 8500/50%/9200

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160038

Anthem Gold Access Blue New England HMO 1000/20%/7500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160039

Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160041

Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160100

Anthem Gold Access Blue New England HMO 2000/10%/7500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160043

Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160042

Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160044

Anthem Gold Access Blue New England HMO 500/30%/9000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160069

Anthem Platinum Access Blue New England HMO 250/10%/3500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160087

Anthem Silver Access Blue New England HMO 2500/30%/10000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160096

Anthem Silver Access Blue New England HMO 3000/30%/9000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160094

Anthem Silver Access Blue New England HMO 3500/20%/10000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160049

Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160048

Anthem Silver Access Blue New England HMO 4000/0%/9000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160081

Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160068

Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160098

Anthem Silver Access Blue New England HMO 4000/20%/8500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160051

Anthem Silver Access Blue New England HMO 4000/30%/9000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160074

Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160050

Anthem Silver Access Blue New England HMO 5000/0%/8000 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160092

Anthem Silver Access Blue New England HMO 5000/0%/9000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160052

Anthem Silver Access Blue New England HMO 5000/30%/9000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160076

Anthem Silver Access Blue New England HMO 6500/0%/9000 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160055

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does JAMES M CERULLO PA-C accept?

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

JAMES M CERULLO PA-C is enrolled across the following managed care network types: HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.