Carly Holloway, in Pearl, MS - Medicare Physical Therapist Provider

Carly Holloway, is a medicare enrolled "Physical Therapist" provider in Pearl, Mississippi. Her current practice location is 314 Airport Rd S, Pearl, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 664-2044.

Carly Holloway is licensed to practice in Mississippi (license number 7416) 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 1154049096.

Contact Information

	Carly Holloway,
	314 Airport Rd S, Pearl, MS 39208-6649
	(601) 664-2044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Holloway
Gender	Female
Speciality	Physical Therapist
Location	314 Airport Rd S, Pearl, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154049096
Provider Enumeration Date: 08/17/2022
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4486010535
Enrollment ID: I20230821002721

Medical Identifiers

Medical identifiers for Carly Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154049096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7416 (Mississippi)	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. Carly Holloway allows following entities to bill medicare on her behalf.

Provider Name	Gptrs Ii
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174851984 PECOS PAC ID: 2860527108 Enrollment ID: O20160215002532

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. Carly Holloway 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
Carly Holloway, 109 Trace Cove Dr, Madison, MS 39110-9201 Ph: () -	Carly Holloway, 314 Airport Rd S, Pearl, MS 39208-6649 Ph: (601) 664-2044

Reviews and Comments

Physical Therapist in Pearl, MS

Nicholas Alan Gunter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3825 Highway 80 E, Pearl, MS 39208 Phone: 601-939-3030 Fax: 601-939-3042
Baptist Physical Theraphy & Sportscare-pearl Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 309 Airport Rd S Ste B, Pearl, MS 39208 Phone: 601-939-8155 Fax: 601-939-8396
Hometown Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2509 Old Brandon Rd Ste C, Pearl, MS 39208 Phone: 601-954-7148
Genesis Physical Therapy & Rehabilitation Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3208 Service Dr Ste E, Pearl, MS 39208 Phone: 601-664-2044 Fax: 601-664-3044
Heather Bullock, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3825 Old Brandon Rd, Pearl, MS 39208 Phone: 601-720-7206 Fax: 601-724-5177
Mrs. Kristen Shivers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 B Riverwind East, Pearl, MS 39208 Phone: 601-383-1247 Fax: 601-510-9500

Carly Holloway, - Medicare Physical Therapist in Pearl, MS