Mrs Tierney Kathleen Elison, CNM is a medicare enrolled "Advanced Practice Midwife" in Lynn, Massachusetts. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Brockton Neighborhood Health Center and her current practice location is
280 Union St, Lynn, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 596-3800.
Mrs Tierney Kathleen Elison is licensed to practice in Massachusetts (license number RN2318216) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689226441.
Provider's Profile
| Full Name | Mrs Tierney Kathleen Elison |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 5 Years |
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| Location | 280 Union St, Lynn, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Tierney Kathleen Elison graduated from nursing school in 2019
NPI Data:
- NPI Number: 1689226441
- Provider Enumeration Date: 07/11/2019
- Last Update Date: 03/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062835283
- Enrollment ID: I20210401000279
Medical Identifiers
Medical identifiers for Mrs Tierney Kathleen Elison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689226441 | NPI | - | NPPES |
| RN231826 | Other | MA | MASSACHUSETTS BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | PENDING (Massachusetts) | Secondary |
| 367A00000X | Advanced Practice Midwife | CNM00183 (Rhode Island) | Secondary |
| 367A00000X | Advanced Practice Midwife | RN2318216 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brockton Neighborhood Health Center | 3870491699 | 64 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tierney Kathleen Elison allows following entities to bill medicare on her behalf.
| Entity Name | Brockton Neighborhood Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225085319
PECOS PAC ID: 3870491699
Enrollment ID: O20031230000558 |
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| Entity Name | Northeast Medical Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235147760
PECOS PAC ID: 2365405024
Enrollment ID: O20050111000265 |
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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 Tierney Kathleen Elison is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mrs Tierney Kathleen Elison, CNM
280 Union St,
Lynn, MA 01901-1353
Ph: (781) 596-3800 | Mrs Tierney Kathleen Elison, CNM
280 Union St,
Lynn, MA 01901-1353
Ph: (781) 596-3800 |
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