William Anthony Tellez IV
NPI 1154045672ActiveIndividual· Physician Assistant· Paoli, PA
Physician Assistant with Main Line Healthcare, practicing in Paoli, Pennsylvania. 276 Medicare patients in 2024, $10,521 paid; nearly all of their 383 Part D prescriptions were generic (96%). Lists Paoli Hospital as a hospital affiliation.
Overview
| NPI | 1154045672 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 28, 2022 |
| Last updated in NPPES | Feb 19, 2025 |
| Certified by provider | Feb 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA064030 | PA |
| Physician Assistant | 363A00000X | OA006262 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 276 |
|---|---|
| Services billed | 304 across 8 procedure codes |
| Paid by Medicare | $10,521 |
Part D prescriptions in 2024
| Prescriptions (claims) | 383 · 388 30-day fills |
|---|---|
| Patients | 270 |
| Total drug cost | $3,291 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Main Line HealthcareWynewood, PA · 1,184 clinicians
Hospital affiliation
- Paoli HospitalPaoli, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 41 physician assistants in Paoli · All physician assistants in Pennsylvania