Kali Theis, DO | |
100 Excela Health Dr Ste 301, Latrobe, PA 15650-9001 | |
(724) 537-1480 | |
(724) 539-6353 |
Full Name | Kali Theis |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 100 Excela Health Dr Ste 301, Latrobe, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003348210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R4327 (Kentucky) | Secondary |
208000000X | Pediatrics | OS020468 (Pennsylvania) | Primary |
Entity Name | Excela Health Physician Practices, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
Mailing Address | Practice Location Address |
---|---|
Kali Theis, DO 100 Excela Health Dr Ste 301, Latrobe, PA 15650-9001 Ph: (724) 539-6353 | Kali Theis, DO 100 Excela Health Dr Ste 301, Latrobe, PA 15650-9001 Ph: (724) 537-1480 |
Melanie Beth Semelka, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5927 State Route 981, Suite 8, Latrobe, PA 15650 Phone: 724-537-2131 | |
Dr. David A Wyszomierski, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 210 Weldon St, Latrobe, PA 15650 Phone: 724-539-3535 Fax: 724-532-0610 | |
Dr. Christine Lee Cheng-florendo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 108 Horner Ln, Latrobe, PA 15650 Phone: 724-537-2131 Fax: 724-537-2153 | |
Dr. Kathleen F Catalano, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Weldon St, Latrobe, PA 15650 Phone: 724-539-3535 Fax: 724-532-0610 |