Mrs Candace Tierra Pearson, APRN, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Pearl, Mississippi. Her current practice location is
805 Bent Oak Dr, Pearl, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 927-0045.
Mrs Candace Tierra Pearson is licensed to practice in Mississippi (license number 907007) 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 1467272344.
Physician's Profile
Full Name | Mrs Candace Tierra Pearson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 805 Bent Oak Dr, Pearl, Mississippi |
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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: 1467272344
- Provider Enumeration Date: 10/15/2024
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921534470
- Enrollment ID: I20241209000930
Medical Identifiers
Medical identifiers for Mrs Candace Tierra Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467272344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 907007 (Mississippi) | Secondary |
363L00000X | Nurse Practitioner | 907007 (Mississippi) | Primary |
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. Mrs Candace Tierra Pearson 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 |
Mrs Candace Tierra Pearson, APRN, FNP-C 805 Bent Oak Dr, Pearl, MS 39208-9055 Ph: (601) 927-0045 | Mrs Candace Tierra Pearson, APRN, FNP-C 805 Bent Oak Dr, Pearl, MS 39208-9055 Ph: (601) 927-0045 |
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