Nicole Brianne Theofanis, PA-C - Medicare in Wormleysburg, PA

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Nicole Brianne Theofanis, PA-C is a medicare enrolled "Physician Assistant" in Wormleysburg, Pennsylvania. Her current practice location is 1000 N Front St, Wormleysburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 731-0101.

Nicole Brianne Theofanis is licensed to practice in Pennsylvania (license number MA057597) 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 1720467897.

Contact Information

Nicole Brianne Theofanis, PA-C
1000 N Front St,
Wormleysburg, PA 17043-1021
(717) 731-0101
(717) 731-8359

Map and Direction




Provider's Profile

Full NameNicole Brianne Theofanis
GenderFemale
Speciality
Experience Years
Location1000 N Front St, Wormleysburg, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Brianne Theofanis attended and graduated from in
  NPI Data:
  • NPI Number: 1720467897
  • Provider Enumeration Date: 05/22/2015
  • Last Update Date: 06/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Nicole Brianne Theofanis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720467897NPI-NPPES
103153338MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA057597 (Pennsylvania)Primary

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. Nicole Brianne Theofanis 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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Wormleysburg, PA

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
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.