Ms Lisa D Clyburn, NP-C - Medicare Nurse Practitioner in Kershaw, SC

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Ms Lisa D Clyburn, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Kershaw, South Carolina. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sandhills Medical Foundation, Inc. and her current practice location is 216 E Marion St, Kershaw, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 475-3350.

Ms Lisa D Clyburn is licensed to practice in South Carolina (license number 3698) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235380254.

Contact Information

Ms Lisa D Clyburn, NP-C
216 E Marion St,
Kershaw, SC 29067-1442
(803) 475-3350
(803) 475-3355

Map and Direction




Provider's Profile

Full NameMs Lisa D Clyburn
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location216 E Marion St, Kershaw, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Lisa D Clyburn graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1235380254
  • Provider Enumeration Date: 10/08/2008
  • Last Update Date: 02/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1153489190
  • Enrollment ID: I20081021000290

Medical Identifiers

Medical identifiers for Ms Lisa D Clyburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235380254NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3698 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Musc Health Lancaster Medical CenterLancaster, SCHospital
KershawhealthCamden, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sandhills Medical Foundation, Inc.822494982122

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. Ms Lisa D Clyburn allows following entities to bill medicare on her behalf.
Entity NameSandhills Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568541597
PECOS PAC ID: 8224949821
Enrollment ID: O20031126000326
Entity NameSandhills Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922584481
PECOS PAC ID: 8224949821
Enrollment ID: O20200528000475
Entity NameSandhills Medical Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083228779
PECOS PAC ID: 8224949821
Enrollment ID: O20230104003131

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. Ms Lisa D Clyburn 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
Ms Lisa D Clyburn, NP-C
Po Box 1259,
Camden, SC 29021-1259

Ph: (803) 713-8350		Ms Lisa D Clyburn, NP-C
216 E Marion St,
Kershaw, SC 29067-1442

Ph: (803) 475-3350

Reviews and Comments


Nurse Practitioner Nurses in Kershaw, SC

Beverly H Timmons,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 216 E Marion St, Kershaw, SC 29067
Phone: 803-475-3475    Fax: 803-475-5360
Courtney Sullivan, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Woodland Drive, Kershaw, SC 29067
Phone: 803-282-7465    Fax: 803-262-0198
Mrs. Sheresa Blackmon Catoe, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Woodland Drive, Kershaw, SC 29067
Phone: 803-313-3700    Fax: 803-289-0909
Jessica Brubeck, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 Woodland Dr, Kershaw, SC 29067
Phone: 843-680-1342    
Mrs. Teresa Yvette Davis, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 S Matson St, Kershaw, SC 29067
Phone: 803-475-1156    Fax: 803-475-1128
Mrs. Denise Marie Wolfe, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 212 E Marion St, Kershaw, SC 29067
Phone: 803-475-2083    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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