Tiffany Jacqueline Irizarry, LPC is a medicare enrolled "Counselor - Professional" provider in Okatie, South Carolina. Her current practice location is
42 Dudley Ave, Okatie, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(609) 462-9272.
Tiffany Jacqueline Irizarry is licensed to practice in South Carolina (license number 8129) 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 1689294597.
Healthcare Provider's Profile
Full Name | Tiffany Jacqueline Irizarry |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 42 Dudley Ave, Okatie, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689294597
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 08/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294264446
- Enrollment ID: I20250203000192
Medical Identifiers
Medical identifiers for Tiffany Jacqueline Irizarry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689294597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 37PC00697900 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 10783 (South Carolina) | Secondary |
101YP2500X | Counselor - Professional | LPC015076 (Georgia) | Secondary |
101YP2500X | Counselor - Professional | 8129 (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. Tiffany Jacqueline Irizarry allows following entities to bill medicare on her behalf.
Entity Name | Bluffton Okatie Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225544562 PECOS PAC ID: 4880956408 Enrollment ID: O20180320001031 |
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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. Tiffany Jacqueline Irizarry 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 |
Tiffany Jacqueline Irizarry, LPC 42 Dudley Ave, Okatie, SC 29909-6304 Ph: (609) 462-9272 | Tiffany Jacqueline Irizarry, LPC 42 Dudley Ave, Okatie, SC 29909-6304 Ph: (609) 462-9272 |
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