Jenna Ruby Holdaway, OTD, OTR in Mount Airy, NC - Medicare Occupational Therapist Provider

Jenna Ruby Holdaway, OTD, OTR is a medicare enrolled "Occupational Therapist" provider in Mount Airy, North Carolina. Her current practice location is 711 W Independence Blvd, Mount Airy, North Carolina. You can reach out to her office (for appointments etc.) via phone at (855) 983-0488.

Jenna Ruby Holdaway is licensed to practice in * (Not Available) (license number ) 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 1750068474.

Contact Information

	Jenna Ruby Holdaway, OTD, OTR
	711 W Independence Blvd, Mount Airy, NC 27030-3576
	(855) 983-0488
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jenna Ruby Holdaway
Gender	Female
Speciality	Occupational Therapist
Location	711 W Independence Blvd, Mount Airy, 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: 1750068474
Provider Enumeration Date: 07/04/2023
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3779945951
Enrollment ID: I20230821001251

Medical Identifiers

Medical identifiers for Jenna Ruby Holdaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750068474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Jenna Ruby Holdaway allows following entities to bill medicare on her behalf.

Provider Name	Kidology Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730591991 PECOS PAC ID: 3476943887 Enrollment ID: O20211129001112

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. Jenna Ruby Holdaway 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
Jenna Ruby Holdaway, OTD, OTR 2950 Fox Creek Rd, Mouth Of Wilson, VA 24363-3185 Ph: (276) 768-9513	Jenna Ruby Holdaway, OTD, OTR 711 W Independence Blvd, Mount Airy, NC 27030-3576 Ph: (855) 983-0488

Reviews and Comments

Occupational Therapist in Mount Airy, NC

Malee Lambert, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 W Independence Blvd, Mount Airy, NC 27030 Phone: 855-983-0488
Lakin East, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1287 Newsome St, Mount Airy, NC 27030 Phone: 336-786-2133
Caitlin Suzanna Knox Cline, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Ridge Crest Ln, Mount Airy, NC 27030 Phone: 336-786-9100
Angela Marie Conley Stroup, OT/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S South St, Mount Airy, NC 27030 Phone: 336-719-7129 Fax: 336-719-7396
Mrs. Vicky Lynn Frye, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 Allred Mill Rd, Mount Airy, NC 27030 Phone: 336-789-5076
Mrs. Nina Y Whitley, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 S South St, Suite 100, Mount Airy, NC 27030 Phone: 336-719-7129 Fax: 336-719-7396
Jill Warren, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1287 Newsome St, Mount Airy, NC 27030 Phone: 336-786-2133

Jenna Ruby Holdaway, OTD, OTR - Medicare Occupational Therapist in Mount Airy, NC