Dr Jared Blaine Carroll, DPT in Bolivia, NC - Medicare Physical Therapist Provider

Dr Jared Blaine Carroll, DPT is a medicare enrolled "Physical Therapist" provider in Bolivia, North Carolina. His current practice location is 35 Referendum Dr Ne, Bolivia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 406-5100.

Dr Jared Blaine Carroll is licensed to practice in North Carolina (license number 16942) 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 1710492301.

Contact Information

	Dr Jared Blaine Carroll, DPT
	35 Referendum Dr Ne, Bolivia, NC 28422-7578
	(910) 406-5100
	(866) 293-0649

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jared Blaine Carroll
Gender	Male
Speciality	Physical Therapist
Location	35 Referendum Dr Ne, Bolivia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710492301
Provider Enumeration Date: 12/05/2017
Last Update Date: 03/31/2026

Medicare PECOS Information:

PECOS PAC ID: 0840559043
Enrollment ID: I20180116001335

Medical Identifiers

Medical identifiers for Dr Jared Blaine Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710492301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	16942 (North 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. Dr Jared Blaine Carroll allows following entities to bill medicare on his behalf.

Provider Name	Emergeortho Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000

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. Dr Jared Blaine Carroll 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
Dr Jared Blaine Carroll, DPT 1592 Gores Landing Rd Sw, Ocean Isle Beach, NC 28469-6342 Ph: (910) 879-8404	Dr Jared Blaine Carroll, DPT 35 Referendum Dr Ne, Bolivia, NC 28422-7578 Ph: (910) 406-5100

Reviews and Comments

Physical Therapist in Bolivia, NC

Jonathan Lindau, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964
Nicholas Matthew Brooker, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964
Amanda Marie Montgomery, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-6930 Fax: 910-253-6934
Mrs. Melissa J Willis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-9964 Fax: 910-253-6934
Mrs. Maureen E O'brien, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-457-4789 Fax: 910-457-5824
Benchmark Physical Therapy Of Nc, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2819 Midway Rd Se Ste 114, Bolivia, NC 28422 Phone: 910-253-6930 Fax: 910-253-6934

Dr Jared Blaine Carroll, DPT - Medicare Physical Therapist in Bolivia, NC