Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Anthony Tellez IV

Individual provider Physician Assistant · NPI 1154045672

William Anthony Tellez IV is a Physician Assistant in Paoli, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

255 W Lancaster Ave Ste 331 Mob Iii
Paoli, PA 19301-1756
Phone: (610) 527-2232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Woodglen Rd, Pottsville, PA 17901-1324 — (272) 639-5755

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA064030 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA006262 (PA)

Record details

NPI number1154045672
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2022
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Paoli