Jillian Kate Holsonback, PT, DPT in Valdosta, GA - Medicare Physical Therapist Provider

Jillian Kate Holsonback, PT, DPT is a medicare enrolled "Physical Therapist" provider in Valdosta, Georgia. Her current practice location is 304 Emory St, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 244-1667.

Jillian Kate Holsonback is licensed to practice in Georgia (license number PT013371) 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 1114239779.

Contact Information

	Jillian Kate Holsonback, PT, DPT
	304 Emory St, Valdosta, GA 31602
	(229) 244-1667
	(229) 244-8253

Map and Direction

Healthcare Provider's Profile

Full Name	Jillian Kate Holsonback
Gender	Female
Speciality	Physical Therapist
Location	304 Emory St, Valdosta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114239779
Provider Enumeration Date: 07/11/2010
Last Update Date: 08/20/2018

Medicare PECOS Information:

PECOS PAC ID: 7315288925
Enrollment ID: I20190409001197

Medical Identifiers

Medical identifiers for Jillian Kate Holsonback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114239779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15271 (North Carolina)	Secondary
225100000X	Physical Therapist	PT013371 (Georgia)	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. Jillian Kate Holsonback allows following entities to bill medicare on her behalf.

Provider Name	Azalea Rehab Services, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992062426 PECOS PAC ID: 2365608692 Enrollment ID: O20141016001158

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. Jillian Kate Holsonback 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
Jillian Kate Holsonback, PT, DPT 304 Emory St, Valdosta, GA 31602-1808 Ph: (229) 244-1667	Jillian Kate Holsonback, PT, DPT 304 Emory St, Valdosta, GA 31602 Ph: (229) 244-1667

Reviews and Comments

Physical Therapist in Valdosta, GA

Mrs. Anna Deloach, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522
Revajo S. Broadwater, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3537 North Crossing Circle, Valdosta, GA 31602 Phone: 229-333-0095 Fax: 229-333-0756
North Valdosta Therapy Services Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4611 Tillman Bluff Rd, Valdosta, GA 31602 Phone: 229-219-0700 Fax: 229-219-0702
Dr. John Tanner Allen, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1110 Clover Hill Rd, Valdosta, GA 31602 Phone: 229-740-3484
Robertus Wolters, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3368 Greystone Way, Valdosta, GA 31605 Phone: 229-242-6670 Fax: 229-242-6671
Steven C Moore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2704 N Oak St Bldg A2, Valdosta, GA 31602 Phone: 229-253-1009 Fax: 229-253-1039
Valdosta Pediatric Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522

Jillian Kate Holsonback, PT, DPT - Medicare Physical Therapist in Valdosta, GA