| Tedric Lolis, PA-C | |
|
1008 Tavern Rd Ste 102, Martinsburg, WV 25401-2801 | |
| (304) 263-5129 | |
| (304) 263-3726 |
| Full Name | Tedric Lolis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1008 Tavern Rd Ste 102, Martinsburg, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114660289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Mountain Health Physicians Inc | 9133405327 | 75 |
| Mailing Address | Practice Location Address |
|---|---|
| Tedric Lolis, PA-C 220 Campus Blvd Ste 210, Winchester, VA 22601-2889 Ph: (540) 536-5100 | Tedric Lolis, PA-C 1008 Tavern Rd Ste 102, Martinsburg, WV 25401-2801 Ph: (304) 263-5129 |
Ms. Beth Ann Znaniecki, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg Veterans Administration Medical Center, Martinsburg, WV 25401 Phone: 304-263-0811 | |
Mark Alan Brown, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 121 Fawn Haven Ct, Martinsburg, WV 25401 Phone: 304-279-6890 | |
Sarah Elizabeth Knott Cross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 Professional Ct Ste A, Martinsburg, WV 25401 Phone: 304-264-9837 Fax: 304-264-9838 | |
Mr. Ricky Lynn White, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-262-0811 Fax: 304-262-1292 | |
Holly Lyn Bonner, MPH, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811 | |
Karen Ann Bowerman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Dry Run Rd, City Hospital, Martinsburg, WV 25401 Phone: 304-264-1000 |