| Tedric D Lolis, PA-C | |
|
1215 Lee St, Charlottesville, VA 22908-0816 | |
| (434) 924-9400 | |
| Not Available |
| Full Name | Tedric D Lolis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1215 Lee St, Charlottesville, 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)) | Secondary |
| 363A00000X | Physician Assistant | 0110008916 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Winchester Medical Center | Winchester, VA | Hospital |
| Jefferson Medical Center | Ranson, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Mountain Health Physicians Inc | 9133405327 | 90 |
| Entity Name | East Mountain Health Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114460797 PECOS PAC ID: 9133405327 Enrollment ID: O20170425001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Tedric D Lolis, PA-C Po Box 749112, Atlanta, GA 30374-9112 Ph: (434) 295-1000 | Tedric D Lolis, PA-C 1215 Lee St, Charlottesville, VA 22908-0816 Ph: (434) 924-9400 |
Mr. Reagan Williams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 Lee St, Charlottesville, VA 22908 Phone: 434-243-1000 Fax: 434-244-7551 |
Nicole M Frank, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1215 Lee St, 7th Floor, Charlottesville, VA 22908 Phone: 434-982-1707 Fax: 434-982-3843 |
Miss Diana C Wargel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-1000 Fax: 434-243-7551 |
Brittany Drozdo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9055 |
Alyssa M Denegri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2101 |
Melissa Volpe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7000 |
Logan Michael Seitzer, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2280 Ivy Rd, Ste 1304, Charlottesville, VA 22903 Phone: 434-243-7778 Fax: 434-244-4454 |