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

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

Map and Direction

Provider's Profile

Full Name	Tierra Izzard
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	2323 Saint Matthews Rd Ste A, Orangeburg, South Carolina
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1386333714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	27313 (South Carolina)	Secondary
363LA2200X	Nurse 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 Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901

Entity Name	Limitless Health Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225532476 PECOS PAC ID: 3274889720 Enrollment ID: O20180713000437

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 Address	Practice 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

Reviews and Comments

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

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