Holly Johnson, PT in Olive Branch, MS - Medicare Physical Therapist Provider

Holly Johnson, PT is a medicare enrolled "Physical Therapist" provider in Olive Branch, Mississippi. Her current practice location is 2268 Ross Rd, Olive Branch, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 808-2680.

Holly Johnson is licensed to practice in Mississippi (license number PT 2762) 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 1083914097.

Contact Information

	Holly Johnson, PT
	2268 Ross Rd, Olive Branch, MS 38654-9406
	(662) 808-2680
	(662) 895-0566

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Johnson
Gender	Female
Speciality	Physical Therapist
Location	2268 Ross Rd, Olive Branch, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083914097
Provider Enumeration Date: 10/25/2010
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8022448281
Enrollment ID: I20200430002822

Medical Identifiers

Medical identifiers for Holly Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083914097	NPI	-	NPPES
9189701	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 2762 (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. Holly Johnson allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Services Tn Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710406491 PECOS PAC ID: 8921363771 Enrollment ID: O20180525000723

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. Holly Johnson 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
Holly Johnson, PT 2268 Ross Rd, Olive Branch, MS 38654-9406 Ph: (662) 808-2680	Holly Johnson, PT 2268 Ross Rd, Olive Branch, MS 38654-9406 Ph: (662) 808-2680

Reviews and Comments

Physical Therapist in Olive Branch, MS

Nicholas Bailey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tina Marie Erber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4780 Medora Dr, Olive Branch, MS 38654 Phone: 662-895-1891
Joshua Mark Day, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8110 Camp Creek Rd Ste 106, Olive Branch, MS 38654 Phone: 662-893-1933 Fax: 662-893-1934
Tarah L Rudd, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4578 Pleasant Breeze Dr, Olive Branch, MS 38654 Phone: 901-268-9759
Mrs. Jennifer Dixon Bogan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 Goodman Rd, Olive Branch, MS 38654 Phone: 901-759-5566
Blake Jordan Falconello, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6542 Goodman Rd Ste 101, Olive Branch, MS 38654 Phone: 662-874-5964 Fax: 662-874-5176

Holly Johnson, PT - Medicare Physical Therapist in Olive Branch, MS