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

Map and Direction




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
Entity NameLimitless Health Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 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

Reviews and Comments


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Cortney Powell,
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Practice Location: 3045 Saint Matthews Rd, Orangeburg, SC 29118
Phone: 803-747-7242    Fax: 803-747-7243

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.