| Nicole Brianne Theofanis, PA-C | |
|
1000 N Front St, Wormleysburg, PA 17043-1021 | |
| (717) 731-0101 | |
| (717) 731-8359 |
| Full Name | Nicole Brianne Theofanis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1000 N Front St, Wormleysburg, 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 |
|---|---|---|---|
| 1720467897 | NPI | - | NPPES |
| 103153338 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MA057597 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Health Cardiovascular Institute Inc | 6901087006 | 109 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Brianne Theofanis, PA-C 409 S 2nd St, Suite 2f, Harrisburg, PA 17104-1612 Ph: (717) 731-0101 | Nicole Brianne Theofanis, PA-C 1000 N Front St, Wormleysburg, PA 17043-1021 Ph: (717) 731-0101 |
Ms. Jessica L Root, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-441-0592 | |
Jasmin Ileana Pimentel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1023 Mumma Rd, Wormleysburg, PA 17043 Phone: 717-737-3377 | |
Mr. Craig Ernst, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-441-0592 | |
Nicholas Joseph Ranieli, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 | |
Laura Christen Mckeown, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St Ste 300, Wormleysburg, PA 17043 Phone: 717-731-0101 | |
Amber M Dagostino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Front St, Wormleysburg, PA 17043 Phone: 717-731-0101 Fax: 717-731-8359 |