NPIMap

Individual provider Active NPI

Mary Elizabeth Piergallini, M.D.

  • Family Medicine Physician
  • Lock Haven, PA
National Provider Identifier
1326018607
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD421135 Issued in PA
Practice address
401 High St
Lock Haven, PA 17745-3013
Phone
(570) 747-7400
Fax
(570) 748-8004
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD421135 PA Primary

Addresses

Primary practice location

401 High St
Lock Haven, PA 17745-3013

Mailing address

401 High St
Lock Haven, PA 17745-3013
Phone (570) 748-7400

Other identifiers 1

IdentifierTypeStateIssuer
0019525750001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drpiergallini@pvmed.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000009 PA Practitioner - Family Practice 3173611985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

401 High St
Lock Haven, PA 17745-3013
Phone (570) 748-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Valley Family Medicine P.C. Family Medicine CurrentSince Mar 18, 2003 Accepting new patients

Locations

208 E Church St
Ste 100
Lock Haven, PA 17745
Phone (570) 748-7400

401 High St
Lock Haven, PA 17745
Phone (570) 748-6777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1326018607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HIGH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453013",
            "telephone_number": "570-748-7400",
            "fax_number": "570-748-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIGH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453013",
            "telephone_number": "570-747-7400",
            "fax_number": "570-748-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERGALLINI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD421135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019525750001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpiergallini@pvmed.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 High St",
            "city": "Lock Haven",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177453013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

Verify at the official NPI Registry.