Michael Edmond Theriault, MD | |
21 Industrial Blvd, Paoli, PA 19301-1610 | |
(610) 647-8000 | |
Not Available |
Full Name | Michael Edmond Theriault |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 8 Years |
Location | 21 Industrial Blvd, 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 |
---|---|---|---|
1083078539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD473446 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Paoli Hospital | Paoli, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Crozer Chester Medical Center | Upland, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Entity Name | Main Line Healthcare |
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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 |
---|---|
Michael Edmond Theriault, MD 21 Industrial Blvd, Paoli, PA 19301-1610 Ph: () - | Michael Edmond Theriault, MD 21 Industrial Blvd, Paoli, PA 19301-1610 Ph: (610) 647-8000 |
Dr. Gracie Yeo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30 S Valley Rd Ste 101, Paoli, PA 19301 Phone: 267-843-4867 | |
Edwin Camiel, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1440 Russell Rd, Paoli, PA 19301 Phone: 610-644-6464 | |
Craig Joseph Gardner, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11 Industrial Blvd Ste 204, Paoli, PA 19301 Phone: 610-644-6251 Fax: 610-644-1440 | |
Sumeet Singh Multani, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-527-2229 Fax: 484-527-0155 | |
Matthew James Viereck, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 124, Paoli, PA 19301 Phone: 610-648-0553 | |
Elizabeth Petrikin Miller, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1514 Greenlawn Rd, Paoli, PA 19301 Phone: 610-639-1494 |