Blue Lot MD PLLC
NPI 1104559160ActiveOrganization· Internal Medicine· Charleston, WV
Internal Medicine in Charleston, West Virginia, registered in NPPES in July 2022, part of Blue Lot MD PLLC. The authorized official on file is Letitia Elaine Tierney, MD, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104559160 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Blue Lot MD PLLC |
| NPI issued | Jul 7, 2022 |
| Last updated in NPPES | Aug 4, 2022 |
| Certified by provider | Aug 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
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