Travis Jolly, in West Chester, PA - Medicare Nurse Practitioner

Travis Jolly, is a medicare enrolled "Nurse Practitioner" in West Chester, Pennsylvania. His current practice location is 915 Old Fern Hill Rd Ste 500, West Chester, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 235-4100.

Travis Jolly is licensed to practice in Pennsylvania (license number RN725977) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639943004.

Contact Information

	Travis Jolly,
	915 Old Fern Hill Rd Ste 500, West Chester, PA 19380-3420
	(610) 235-4100
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis Jolly
Gender	Male
Speciality	Nurse Practitioner
Location	915 Old Fern Hill Rd Ste 500, West Chester, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639943004
Provider Enumeration Date: 11/07/2023
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5597116897
Enrollment ID: I20240111001430

Medical Identifiers

Medical identifiers for Travis Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639943004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN725977 (Pennsylvania)	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. Travis Jolly allows following entities to bill medicare on his behalf.

Entity Name	Manos Family Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801978010 PECOS PAC ID: 4486638533 Enrollment ID: O20040616000201

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. Travis Jolly 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
Travis Jolly, 915 Old Fern Hill Rd Ste 500, West Chester, PA 19380-3420 Ph: (610) 235-4100	Travis Jolly, 915 Old Fern Hill Rd Ste 500, West Chester, PA 19380-3420 Ph: (610) 235-4100

Reviews and Comments

Nurse Practitioner Nurses in West Chester, PA

Rhonda Myra Rakow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 Chadd Ct, West Chester, PA 19382 Phone: 610-558-3138
Karen Wood, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 915 Old Fern Hill Rd, Bldg D, Suite 600, West Chester, PA 19380 Phone: 610-692-3434 Fax: 610-692-9005
Ann S. Ripley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E. Marshall Street, West Chester, PA 19380 Phone: 610-738-2366
Jaclyn Clark, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 E Market St Ste 303, West Chester, PA 19382 Phone: 610-738-2690
Brianna Millard, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1655 E Boot Rd, West Chester, PA 19380 Phone: 484-819-0411
Matthew Joseph Counihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Andrew Dr Ste B, West Chester, PA 19380 Phone: 610-436-4448
Robin Marie Haskell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall St, West Chester, PA 19380 Phone: 610-738-2709

Travis Jolly, - Medicare Nurse Practitioner in West Chester, PA