Broughton D Jolley, MD - Medicare Anesthesiology in Kingsport, TN

Broughton D Jolley, MD is a medicare enrolled "Anesthesiology" physician in Kingsport, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice American Anesthesiology Of Tennessee Pc and his current practice location is 135 W Ravine Rd, Suite 5-b, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-3460.

Broughton D Jolley is licensed to practice in Tennessee (license number 21958) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235130717.

Contact Information

Broughton D Jolley, MD
135 W Ravine Rd, Suite 5-b,
Kingsport, TN 37660-3847
(423) 224-3460
(423) 224-3465



Physician's Profile

Full NameBroughton D Jolley
GenderMale
SpecialityAnesthesiology
Experience34 Years
Location135 W Ravine Rd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Broughton D Jolley attended and graduated from East Tennessee State University Quillen College Of Medicine in 1990
  NPI Data:
  • NPI Number: 1235130717
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 04/12/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6305961988
  • Enrollment ID: I20100920000758

Medical Identifiers

Medical identifiers for Broughton D Jolley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235130717NPI-NPPES
5704791MedicaidVA
3082522MedicaidTN
00013859OtherNHC CARE ADMINISTRATORS
050043321OtherRAILROAD MEDICARE
240137OtherANTHEM BCBS
3045725OtherBLUE SHIELD OF TN
TN0100OtherJOHN DEERE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 21958 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Anesthesiology Of Tennessee Pc9931001922382

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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. Broughton D Jolley allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Group Of Tennessee, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114927738
PECOS PAC ID: 9032013164
Enrollment ID: O20031222000086

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Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364

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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. Broughton D Jolley 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 AddressPractice Location Address
Broughton D Jolley, MD
Po Box 535744,
Atlanta, GA 30353-5510

Ph: (844) 294-5114
Broughton D Jolley, MD
135 W Ravine Rd, Suite 5-b,
Kingsport, TN 37660-3847

Ph: (423) 224-3460

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› Verified 7 days ago


Anesthesiology Doctors in Kingsport, TN

Mark W Alley, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 135 W Ravine Rd, Suite 5-b, Kingsport, TN 37660
Phone: 423-224-3460    Fax: 423-224-3465
Darryl Fontaine, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663
Phone: 423-239-5833    Fax: 423-239-9789
Mia Lyn Templeton, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Brookside Dr, Kingsport, TN 37660
Phone: 423-857-7000    
Ann Groce, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660
Phone: 423-224-3460    Fax: 423-224-3465
Dr. Thomas Garland Magruder V, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660
Phone: 423-224-3460    Fax: 423-224-3465
Kathryn Rosa Schott, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2202 N John B Dennis Hwy Ste 200, Kingsport, TN 37660
Phone: 423-232-6120    Fax: 423-232-6125
Robert J Doell, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 135 W Ravine Rd, Ste 5-b, Kingsport, TN 37660
Phone: 423-224-3460    Fax: 423-224-3465

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