Mary G Tierney, MD is a
Family Medicine based in Willow Street, Pennsylvania. Mary G Tierney is licensed to practice in Pennsylvania (license number MD456991) and her current practice location is
2819 Willow Street Pike, Suite J, Willow Street, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 723-9104.
NPI number for Mary G Tierney is 1073889499 and her current mailing address is 1227 Willow Street Pike, Lancaster, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073889499.
Healthcare Provider's Profile
Full Name | Mary G Tierney |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 2819 Willow Street Pike, Willow Street, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073889499
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for Mary G Tierney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073889499 | NPI | - | NPPES |
88-0786906 | Other | PA | FAMILY MEDICINE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | PAK000223 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | 0101258266 (Virginia) | Secondary |
207Q00000X | Family Medicine | D94419 (Maryland) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | MD456991 (Pennsylvania) | Secondary |
207Q00000X | Family Medicine | MD456991 (Pennsylvania) | Primary |
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. Mary G Tierney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary G Tierney, MD 1227 Willow Street Pike, Lancaster, PA 17602-4631 Ph: (717) 723-9104 | Mary G Tierney, MD 2819 Willow Street Pike, Suite J, Willow Street, PA 17584-1758 Ph: (717) 723-9104 |
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