Question 1

What type of a medical provider is Tedric Lolis?

Accepted Answer

Tedric Lolis is a Physician Assistant (Surgical).

Question 2

Where does Tedric Lolis practice medicine?

Accepted Answer

Tedric Lolis has the following practice address:1008 TAVERN RD STE 102, MARTINSBURG, WV 25401-2801

Question 3

Does this provider have a license number?

Accepted Answer

We do not know of any license numbers associated with Tedric Lolis.

Question 4

Does Tedric Lolis accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Tedric Lolis have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Tedric Lolis a member of any Medical Groups?

Accepted Answer

Tedric Lolis is affiliated with one medical group in the MARTINSBURG area, EAST MOUNTAIN HEALTH PHYSICIANS INC.

Question 7

Does Tedric Lolis participate in PECOS?

Accepted Answer

Yes, Tedric Lolis participates in PECOS.

Question 8

What phone number can I call to contact Tedric Lolis?

Accepted Answer

You can call the following number: (304)-263-5129

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Tedric Lolis.

Question 10

Is Tedric Lolis  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with the following hospital: BERKELEY MEDICAL CENTER

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (1/17/2023).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20230120001006
PECOS Individual PAC ID:	7810374303
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Tedric Lolis

Overview