Carly Renee Penhollow, PT, DPT, ATC in Rome, GA - Medicare Physical Therapy Provider

Carly Renee Penhollow, PT, DPT, ATC is a medicare enrolled "Physical Therapist" provider in Rome, Georgia. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Performance Physical Therapy And Sports Medicine Inc and her current practice location is 1711 Martha Berry Blvd Nw, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 528-4207.

Carly Renee Penhollow is licensed to practice in Georgia (license number PT013800) 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 1265803142.

Contact Information

	Carly Renee Penhollow, PT, DPT, ATC
	1711 Martha Berry Blvd Nw, Rome, GA 30165-1623
	(706) 528-4207
	(706) 528-4211

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Renee Penhollow
Gender	Female
Speciality	Physical Therapy
Experience	8 Years
Location	1711 Martha Berry Blvd Nw, Rome, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carly Renee Penhollow graduated from medical school in 2016

NPI Data:

NPI Number: 1265803142
Provider Enumeration Date: 10/17/2015
Last Update Date: 09/15/2020

Medicare PECOS Information:

PECOS PAC ID: 8527486737
Enrollment ID: I20200918001690

Medical Identifiers

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

Identifier	Type	State	Issuer
1265803142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PT 30869 (Florida)	Secondary
225100000X	Physical Therapist	PT013800 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Performance Physical Therapy And Sports Medicine Inc	8426112137	10

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 Renee Penhollow allows following entities to bill medicare on her behalf.

Provider Name	Performance Physical Therapy & Sports Medicine Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1871738872 PECOS PAC ID: 8426112137 Enrollment ID: O20090126000014

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 Renee Penhollow 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 Renee Penhollow, PT, DPT, ATC Po Box 431, La Fayette, GA 30728-0431 Ph: (706) 638-3880	Carly Renee Penhollow, PT, DPT, ATC 1711 Martha Berry Blvd Nw, Rome, GA 30165-1623 Ph: (706) 528-4207

Reviews and Comments

Physical Therapist in Rome, GA

Marius Florin Bodiu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726
Buffy D Crenshaw, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408
Mr. Steven John Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3870 Martha Berry Hwy Ne, Rome, GA 30165 Phone: 706-378-3124
Kimberly H Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046
Erin Green Pollock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Shorter Ave Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726
Ryan Blake Cheeley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408
Cory R Tucker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 N 5th Ave Sw, Rome, GA 30165 Phone: 706-292-0040 Fax: 706-378-0556

Carly Renee Penhollow, PT, DPT, ATC - Medicare Physical Therapist in Rome, GA