Tedric Lolis, PA-C - Medicare Physician Assistant in Martinsburg, WV

Tedric Lolis, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Martinsburg, West Virginia. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice East Mountain Health Physicians Inc and his current practice location is 1008 Tavern Rd Ste 102, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-5129.

Tedric Lolis is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114660289.

Contact Information

Tedric Lolis, PA-C
1008 Tavern Rd Ste 102,
Martinsburg, WV 25401-2801
(304) 263-5129
(304) 263-3726



Provider's Profile

Full NameTedric Lolis
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location1008 Tavern Rd Ste 102, Martinsburg, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tedric Lolis graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1114660289
  • Provider Enumeration Date: 04/18/2022
  • Last Update Date: 01/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810374303
  • Enrollment ID: I20230120001006

Medical Identifiers

Medical identifiers for Tedric Lolis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114660289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Berkeley Medical CenterMartinsburg, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Mountain Health Physicians Inc913340532775

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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. Tedric Lolis 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
Tedric Lolis, PA-C
220 Campus Blvd Ste 210,
Winchester, VA 22601-2889

Ph: (540) 536-5100
Tedric Lolis, PA-C
1008 Tavern Rd Ste 102,
Martinsburg, WV 25401-2801

Ph: (304) 263-5129

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Physician Assistant Nurses in Martinsburg, WV

Ms. Beth Ann Znaniecki, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 510 Butler Ave, Martinsburg Veterans Administration Medical Center, Martinsburg, WV 25401
Phone: 304-263-0811    
Mark Alan Brown, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 121 Fawn Haven Ct, Martinsburg, WV 25401
Phone: 304-279-6890    
Sarah Elizabeth Knott Cross, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Professional Ct Ste A, Martinsburg, WV 25401
Phone: 304-264-9837    Fax: 304-264-9838
Mr. Ricky Lynn White, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 510 Butler Ave, Martinsburg, WV 25405
Phone: 304-262-0811    Fax: 304-262-1292
Holly Lyn Bonner, MPH, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 510 Butler Ave, Martinsburg, WV 25405
Phone: 304-263-0811    
Karen Ann Bowerman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Dry Run Rd, City Hospital, Martinsburg, WV 25401
Phone: 304-264-1000    

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