Dr Matthew Blackmon, DC in La Porte, IN - Medicare Chiropractor Provider

Dr Matthew Blackmon, DC is a medicare enrolled "Chiropractor" provider in La Porte, Indiana. His current practice location is 204 Legacy Plz W, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 476-7246.

Dr Matthew Blackmon is licensed to practice in Indiana (license number 08002885A) 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 1073970521.

Contact Information

	Dr Matthew Blackmon, DC
	204 Legacy Plz W, La Porte, IN 46350-5285
	(219) 476-7246
	(219) 476-1713

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Matthew Blackmon
Gender	Male
Speciality	Chiropractor
Location	204 Legacy Plz W, La Porte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073970521
Provider Enumeration Date: 01/27/2016
Last Update Date: 01/13/2018

Medicare PECOS Information:

PECOS PAC ID: 1951607274
Enrollment ID: I20221108000250

Medical Identifiers

Medical identifiers for Dr Matthew Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073970521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	08002885A (Indiana)	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. Dr Matthew Blackmon allows following entities to bill medicare on his behalf.

Provider Name	Yensid Jr Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1295110989 PECOS PAC ID: 1254648967 Enrollment ID: O20151013000864

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. Dr Matthew Blackmon 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
Dr Matthew Blackmon, DC 219 E Ireland Rd, South Bend, IN 46614-2653 Ph: (574) 291-1000	Dr Matthew Blackmon, DC 204 Legacy Plz W, La Porte, IN 46350-5285 Ph: (219) 476-7246

Reviews and Comments

Chiropractor in La Porte, IN

Mrs. Shanna Gail Dudash, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1108 Indiana Ave, La Porte, IN 46350 Phone: 219-362-5433 Fax: 219-362-0027
Grant Chiropractic Clinic, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 451 Pine Lake Ave, La Porte, IN 46350 Phone: 219-362-3766 Fax: 219-325-8715
Dr. Mark Charles Grant, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 451 Pine Lake Ave, La Porte, IN 46350 Phone: 219-362-3766
Dr. Timothy Joseph Gurrola, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1405 E Lincolnway, Suite A, La Porte, IN 46350 Phone: 219-325-3069 Fax: 219-362-0015
Rassel Family Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1108 Indiana Ave, La Porte, IN 46350 Phone: 219-362-5433
Clark's Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 6646 W Johnson Rd, La Porte, IN 46350 Phone: 866-932-9630

Dr Matthew Blackmon, DC - Medicare Chiropractor in La Porte, IN