Mr Kenneth Daniel Hollingsworth, PT is a medicare enrolled "Physical Therapist" provider in Paulsboro, New Jersey. His current practice location is
550 Jessup Rd, Paulsboro, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 848-9551.
Mr Kenneth Daniel Hollingsworth is licensed to practice in New Jersey (license number 40QA01128000) 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 1881810646.
Healthcare Provider's Profile
Full Name | Mr Kenneth Daniel Hollingsworth |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 550 Jessup Rd, Paulsboro, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881810646
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557550555
- Enrollment ID: I20130418000239
Medical Identifiers
Medical identifiers for Mr Kenneth Daniel Hollingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881810646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 40QA01128000 (New Jersey) | 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. Mr Kenneth Daniel Hollingsworth allows following entities to bill medicare on his behalf.
Provider Name | Therapy Choice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1609887579 PECOS PAC ID: 2567375942 Enrollment ID: O20031111000536 |
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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. Mr Kenneth Daniel Hollingsworth 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 |
Mr Kenneth Daniel Hollingsworth, PT 19 Westerly Dr, Sicklerville, NJ 08081-3031 Ph: (856) 404-9262 | Mr Kenneth Daniel Hollingsworth, PT 550 Jessup Rd, Paulsboro, NJ 08066-1921 Ph: (856) 848-9551 |
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