Tierra Izzard, PMHNP-BC - Medicare Nurse Practitioner in Orangeburg, SC

Tierra Izzard, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Orangeburg, South Carolina. Her current practice location is 2323 Saint Matthews Rd Ste A, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 310-5994.

Tierra Izzard is licensed to practice in South Carolina (license number 27313) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386333714.

Contact Information

Tierra Izzard, PMHNP-BC
2323 Saint Matthews Rd Ste A,
Orangeburg, SC 29118-2042
(803) 310-5994
(803) 219-8954



Provider's Profile

Full NameTierra Izzard
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location2323 Saint Matthews Rd Ste A, Orangeburg, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386333714
  • Provider Enumeration Date: 05/02/2023
  • Last Update Date: 04/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153781216
  • Enrollment ID: I20230720002560

Medical Identifiers

Medical identifiers for Tierra Izzard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386333714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 27313 (South Carolina)Secondary
363LA2200XNurse Practitioner - Adult Health 27313 (South Carolina)Primary

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. Tierra Izzard allows following entities to bill medicare on her behalf.
Entity NameLifesource Of North Carolina
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972861789
PECOS PAC ID: 7416132428
Enrollment ID: O20120801000901

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Entity NameLimitless Health Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225532476
PECOS PAC ID: 3274889720
Enrollment ID: O20180713000437

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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. Tierra Izzard 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 AddressPractice Location Address
Tierra Izzard, PMHNP-BC
2323 Saint Matthews Rd Ste A,
Orangeburg, SC 29118-2042

Ph: (803) 310-5994
Tierra Izzard, PMHNP-BC
2323 Saint Matthews Rd Ste A,
Orangeburg, SC 29118-2042

Ph: (803) 310-5994

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The cancer burden in Puerto Rico, a U.S. territory with a 99% Hispanic population, is substantially different from that of Hispanics in the continental U.S., according to Cancer Statistics for Hispanics/Latinos, 2018.

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Nurse Practitioner Nurses in Orangeburg, SC

Catherine Simmons,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115
Phone: 843-701-6387    
Shannon W Easterlin, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 940 Holly St, Orangeburg, SC 29115
Phone: 803-536-2725    Fax: 803-534-3118
Monica Monique Johnson, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118
Phone: 803-395-2200    
Constance Gainey Bailey,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118
Phone: 803-395-2200    
Vincent Bernard Johnson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3310 Magnolia St, Orangeburg, SC 29115
Phone: 803-531-6900    
Ms. Erica Thompson, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118
Phone: 803-535-3600    
Jennifer Haynes,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 970 Holly St, Orangeburg, SC 29115
Phone: 803-531-2722    Fax: 803-531-2743

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