Mrs Jessica Lyn Holder, DPT is a medicare enrolled "Physical Therapist" provider in Spout Spring, Virginia. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Centra Outpatient Rehabilitation Services Llc and her current practice location is
581 Carson Dr, Spout Spring, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 941-7730.
Mrs Jessica Lyn Holder is licensed to practice in Virginia (license number 2305205485) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972898179.
Healthcare Provider's Profile
Full Name | Mrs Jessica Lyn Holder |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 19 Years |
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Location | 581 Carson Dr, Spout Spring, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jessica Lyn Holder graduated from medical school in 2005
NPI Data:
- NPI Number: 1972898179
- Provider Enumeration Date: 06/15/2011
- Last Update Date: 06/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 9032339676
- Enrollment ID: I20141003000256
Medical Identifiers
Medical identifiers for Mrs Jessica Lyn Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972898179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2305205485 (Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Centra Outpatient Rehabilitation Services Llc | 4789909987 | 28 |
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. Mrs Jessica Lyn Holder allows following entities to bill medicare on her behalf.
Provider Name | Centra Outpatient Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1871998120 PECOS PAC ID: 4789909987 Enrollment ID: O20150211000160 |
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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. Mrs Jessica Lyn Holder 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 |
Mrs Jessica Lyn Holder, DPT 581 Carson Dr, Spout Spring, VA 24593-2606 Ph: (434) 941-7730 | Mrs Jessica Lyn Holder, DPT 581 Carson Dr, Spout Spring, VA 24593-2606 Ph: (434) 941-7730 |
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