Brantley T Jolly, MD in Falls Church, VA - Medicare Emergency Medicine

Brantley T Jolly, MD is a medicare enrolled "Emergency Medicine" physician in Falls Church, Virginia. His current practice location is 3300 Gallows Rd, Falls Church, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 776-3111.

Brantley T Jolly is licensed to practice in Virginia (license number 0101045123) 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 1265484471.

Contact Information

	Brantley T Jolly, MD
	3300 Gallows Rd, Falls Church, VA 22042-3307
	(703) 776-3111
	(800) 536-8431

Map and Direction

Physician's Profile

Full Name	Brantley T Jolly
Gender	Male
Speciality	Emergency Medicine
Location	3300 Gallows Rd, Falls Church, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265484471
Provider Enumeration Date: 05/16/2006
Last Update Date: 07/17/2007

Medicare PECOS Information:

PECOS PAC ID: 5294920187
Enrollment ID: I20101117001250

Medical Identifiers

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

Identifier	Type	State	Issuer
1265484471	NPI	-	NPPES
5804205	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	0101045123 (Virginia)	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. Brantley T Jolly allows following entities to bill medicare on his behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644

Entity Name	Emergency Medicine Associates Pa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389

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. Brantley T 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
Brantley T Jolly, MD Po Box 75567, Baltimore, MD 21275-5567 Ph: (888) 898-3291	Brantley T Jolly, MD 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-3111

Reviews and Comments

Emergency Medicine Doctors in Falls Church, VA

Dr. Andrew Lewis Miner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Emergency Department, Falls Church, VA 22042 Phone: 703-776-3195 Fax: 703-776-2893
Vasilios Dimitrios Mavrophilipos, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd Dept Of, Falls Church, VA 22042 Phone: 703-776-4001
Robert Glen Solberg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-2690 Fax: 703-776-2893
Rodolfo Lopez, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3111 Fax: 800-536-8431
Scott D Weir, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3111 Fax: 800-536-8431
Robert Cates, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3111 Fax: 904-346-0113
Konstantinos Kohilas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3111 Fax: 800-536-8431

Brantley T Jolly, MD - Medicare Emergency Medicine in Falls Church, VA