Lauren Theriault, MD | |
3855 W Chester Pike Ste 300, Newtown Square, PA 19073-2304 | |
(484) 427-8000 | |
Not Available |
Full Name | Lauren Theriault |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 3855 W Chester Pike Ste 300, Newtown Square, Pennsylvania |
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 |
---|---|---|---|
1215321500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 042.0014063 (Vermont) | Secondary |
207R00000X | Internal Medicine | MD473554 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Main Line Health Home Care & Hospice - Home Health | Radnor, PA | Home health agency |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Paoli Hospital | Paoli, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Novacare Outpatient Rehabilitation East Inc | 3678480290 | 666 |
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 |
Mailing Address | Practice Location Address |
---|---|
Lauren Theriault, MD 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: () - | Lauren Theriault, MD 3855 W Chester Pike Ste 300, Newtown Square, PA 19073-2304 Ph: (484) 427-8000 |
Robert Riccardo Corrato, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Campus Blvd, Suite 200, Newtown Square, PA 19073 Phone: 484-454-6268 Fax: 610-789-6158 | |
Gordon W. Webster, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 841 Galer Dr, Newtown Square, PA 19073 Phone: 610-353-1181 | |
Praphulla Hebbalalu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Campus Blvd, Suite 200, Newtown Square, PA 19073 Phone: 484-454-6268 | |
Dr. Jo-ann Reteguiz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Campus Blvd, Newtown Square, PA 19073 Phone: 610-557-2262 | |
Madeleine E Heaney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3475 W Chester Pike Ste 235, Newtown Square, PA 19073 Phone: 484-420-4660 Fax: 484-420-6547 | |
Sylvan Hurewitz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15 Campus Blvd, Newtown Square, PA 19073 Phone: 610-557-2484 |