Broughton D Jolley, MD in Kingsport, TN

Broughton D Jolley, MD is a medicare enrolled "Anesthesiology" physician in Kingsport, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Laurel Falls Anesthesiologists Pllc, American Anesthesiology Of Tennessee Pc and his current practice location is 135 W Ravine Rd, Suite 5-b, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-3460.

Broughton D Jolley is licensed to practice in Tennessee (license number 21958) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235130717.

Contact Information

	Broughton D Jolley, MD
	135 W Ravine Rd, Suite 5-b, Kingsport, TN 37660-3847
	(423) 224-3460
	(423) 224-3465

Map and Direction

Physician's Profile

Full Name	Broughton D Jolley
Gender	Male
Speciality	Anesthesiology
Experience	35 Years
Location	135 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Broughton D Jolley attended and graduated from East Tennessee State University Quillen College Of Medicine in 1990

NPI Data:

NPI Number: 1235130717
Provider Enumeration Date: 08/09/2005
Last Update Date: 04/12/2017

Medicare PECOS Information:

PECOS PAC ID: 6305961988
Enrollment ID: I20100920000758

Medical Identifiers

Medical identifiers for Broughton D Jolley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235130717	NPI	-	NPPES
5704791	Medicaid	VA
3082522	Medicaid	TN
00013859	Other		NHC CARE ADMINISTRATORS
050043321	Other		RAILROAD MEDICARE
240137	Other		ANTHEM BCBS
3045725	Other		BLUE SHIELD OF TN
TN0100	Other		JOHN DEERE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	21958 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Blount Memorial Hospital	Maryville, TN	Hospital
Physicians Regional Medical Center	Powell, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Laurel Falls Anesthesiologists Pllc	8921452673	8
American Anesthesiology Of Tennessee Pc	9931001922	282

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. Broughton D Jolley allows following entities to bill medicare on his behalf.

Entity Name	American Anesthesiology Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364

Entity Name	Laurel Falls Anesthesiologists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942980875 PECOS PAC ID: 8921452673 Enrollment ID: O20230928002052

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. Broughton D Jolley 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
Broughton D Jolley, MD Po Box 535744, Atlanta, GA 30353-5510 Ph: (844) 294-5114	Broughton D Jolley, MD 135 W Ravine Rd, Suite 5-b, Kingsport, TN 37660-3847 Ph: (423) 224-3460

Reviews and Comments

Anesthesiology Doctors in Kingsport, TN

Mark W Alley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Suite 5-b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465
Darryl Fontaine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 Phone: 423-239-5833 Fax: 423-239-9789
Mia Lyn Templeton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
Ann Groce, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465
Dr. Thomas Garland Magruder V, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465
Kathryn Rosa Schott, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 200, Kingsport, TN 37660 Phone: 423-232-6120 Fax: 423-232-6125
Robert J Doell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Ste 5-b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465

Broughton D Jolley, MD - Medicare Anesthesiology in Kingsport, TN