Lori L Betler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

00503 Issued in WV

Practice address

100 Seneca Rd
Tygart Valley ENT Associates
Elkins, WV 26241-9709

Phone

(304) 637-6302

Fax

(304) 637-6307

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1285801571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2630",
            "address_2": "CENTRAL WV MEDCORP, INC.",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262412630",
            "telephone_number": "304-637-6302",
            "fax_number": "304-637-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SENECA RD",
            "address_2": "TYGART VALLEY ENT ASSOCIATES",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419709",
            "telephone_number": "304-637-6302",
            "fax_number": "304-637-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETLER",
        "first_name": "LORI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "00503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Bertenthal-Smith, LPC
• Shannon Leigh Bertles
• Loretta J Bertolini
• Cardaesha J Bethea
• Kendell Bethea
• Crystal Bible
• Edith Bickel
• Shanda Rene Biggles
• Lisa Dawn Biller
• Shonnette Biller

• Medical Physician Assistant in Elkins, WV
• Providers in Elkins, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.