Holly Long, PT in Jefferson City, TN - Medicare Physical Therapist Provider

Holly Long, PT is a medicare enrolled "Physical Therapist" provider in Jefferson City, Tennessee. Her current practice location is 380 W Broadway Blvd Ste 130, Jefferson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 475-4742.

Holly Long is licensed to practice in Tennessee (license number 12118) 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 1649403924.

Contact Information

	Holly Long, PT
	380 W Broadway Blvd Ste 130, Jefferson City, TN 37760-2602
	(865) 475-4742
	(833) 908-2080

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Long
Gender	Female
Speciality	Physical Therapist
Location	380 W Broadway Blvd Ste 130, Jefferson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649403924
Provider Enumeration Date: 09/02/2009
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2466806302
Enrollment ID: I20230927001097

Medical Identifiers

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

Identifier	Type	State	Issuer
1649403924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1441 (West Virginia)	Secondary
225100000X	Physical Therapist	12118 (Tennessee)	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 Long allows following entities to bill medicare on her behalf.

Provider Name	Summit Medical Group, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793

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 Long 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 Long, PT 1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383 Ph: (865) 500-2143	Holly Long, PT 380 W Broadway Blvd Ste 130, Jefferson City, TN 37760-2602 Ph: (865) 475-4742

Reviews and Comments

Physical Therapist in Jefferson City, TN

Jason Curtis Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213
Fiorello Erico Pacia Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9012
Andrew Fultz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213
Mossy Creek Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 1405 S Sizer Ave, Jefferson City, TN 37760 Phone: 865-246-8090
Sydnie Jordan Hodge, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 283 W Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-9037
John Duty, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 646 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-471-6890
Mrs. Milagros Pacia, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 102 E Commerce Ct, Jefferson City, TN 37760 Phone: 865-475-3101 Fax: 865-475-9213

Holly Long, PT - Medicare Physical Therapist in Jefferson City, TN