| Lori Theiller, PA-C | |
|
36 Moore Rd, Wantage, NJ 07461-3707 | |
| (973) 459-9996 | |
| Not Available |
| Full Name | Lori Theiller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 36 Moore Rd, Wantage, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700494994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Hospital | Paramus, NJ | Hospital |
| Hackensack University Medical Center | Hackensack, NJ | Hospital |
| Kessler Rehab Center | West orange, NJ | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1901 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Rothman Orthopaedics of New Jersey, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215978630 PECOS PAC ID: 6709864846 Enrollment ID: O20040713001385 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Theiller, PA-C 36 Moore Rd, Wantage, NJ 07461-3707 Ph: (973) 459-9996 | Lori Theiller, PA-C 36 Moore Rd, Wantage, NJ 07461-3707 Ph: (973) 459-9996 |
Andrew Devoid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 178 Libertyville Rd, Wantage, NJ 07461 Phone: 908-208-3675 |