Lori Theiller, PA-C is a medicare enrolled "Physician Assistant" in Wantage, New Jersey. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and her current practice location is
36 Moore Rd, Wantage, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 459-9996.
Lori Theiller is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700494994.
Provider's Profile
| Full Name | Lori Theiller |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 36 Moore Rd, Wantage, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lori Theiller graduated from nursing school in 2020
NPI Data:
- NPI Number: 1700494994
- Provider Enumeration Date: 07/14/2020
- Last Update Date: 07/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406268374
- Enrollment ID: I20210715000073
Medical Identifiers
Medical identifiers for Lori Theiller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700494994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1166 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Theiller is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lori Theiller, PA-C
36 Moore Rd,
Wantage, NJ 07461-3707
Ph: (973) 459-9996 | Lori Theiller, PA-C
36 Moore Rd,
Wantage, NJ 07461-3707
Ph: (973) 459-9996 |
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