| William Anthony Tellez Iv, | |
|
255 W Lancaster Ave, Suite 331 Mob Iii, Paoli, PA 19301-1756 | |
| (610) 527-2232 | |
| Not Available |
| Full Name | William Anthony Tellez Iv |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 255 W Lancaster Ave, Paoli, Pennsylvania |
| 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 |
|---|---|---|---|
| 1154045672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA064030 (Pennsylvania) | Primary |
| 363A00000X | Physician Assistant | OA006262 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paoli Hospital | Paoli, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Line Healthcare | 1951215201 | 1154 |
| Entity Name | The Carbon-schuylkill Community Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194891010 PECOS PAC ID: 4486562030 Enrollment ID: O20031117000015 |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Entity Name | St Luke's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740232719 PECOS PAC ID: 0648189688 Enrollment ID: O20040601000769 |
| Entity Name | St. Luke's Quakertown Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225052616 PECOS PAC ID: 8224010350 Enrollment ID: O20040708000267 |
| Entity Name | St Lukes Hospital-anderson Campus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376965731 PECOS PAC ID: 5799924114 Enrollment ID: O20141021000312 |
| Entity Name | St. Luke's Hospital -monroe Campus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609311257 PECOS PAC ID: 1355637059 Enrollment ID: O20171221000156 |
| Entity Name | Gsl Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073256608 PECOS PAC ID: 8921338583 Enrollment ID: O20220719000789 |
| Mailing Address | Practice Location Address |
|---|---|
| William Anthony Tellez Iv, 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 337-1632 | William Anthony Tellez Iv, 255 W Lancaster Ave, Suite 331 Mob Iii, Paoli, PA 19301-1756 Ph: (610) 527-2232 |
Emily Jane Damico, Physician Assistant Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 215-429-1003 |
Nicole Elizabeth Francis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4 Industrial Blvd Ste 165, Paoli, PA 19301 Phone: 610-359-5640 Fax: 833-941-3871 |
Ashley Diane Zudans, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 201, Paoli, PA 19301 Phone: 484-476-1000 Fax: 484-476-9000 |
Kathleen M Canfield, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 Phone: 610-644-6251 Fax: 610-644-1440 |
Amanda Whitlock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Suite 331, Mob3, Paoli, PA 19301 Phone: 484-527-2232 |
Marissa Pena, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 255 West Lancaster Avenue, Medical Office Building 3, Suite 237, Paoli, PA 19301 Phone: 484-565-8080 |
Ms. Shelby Catherine Hufnal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1048 Fax: 484-565-2044 |