Mrs Luisa Tieso, is a
Community/behavioral Health based in Tobyhanna, Pennsylvania. Mrs Luisa Tieso is licensed to practice in Pennsylvania (license number BH003283) and her current practice location is
6167 Somers Terr, Tobyhanna, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(862) 432-0980.
NPI number for Mrs Luisa Tieso is 1144743873 and her current mailing address is 6167 Somers Ter, Tobyhanna, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144743873.
Healthcare Provider's Profile
Full Name | Mrs Luisa Tieso |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 6167 Somers Terr, Tobyhanna, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144743873
- Provider Enumeration Date: 07/25/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mrs Luisa Tieso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144743873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | BH003283 (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. Mrs Luisa Tieso 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 |
Mrs Luisa Tieso, 6167 Somers Ter, Tobyhanna, PA 18466-3227 Ph: (862) 432-0980 | Mrs Luisa Tieso, 6167 Somers Terr, Tobyhanna, PA 18466 Ph: (862) 432-0980 |
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