Mrs Tracy Blackmon, MSW, LCSW, LCAS in Goldsboro, NC

Mrs Tracy Blackmon, MSW, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. Her current practice location is 1706 Wayne Memorial Dr, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 734-6676.

Mrs Tracy Blackmon is licensed to practice in North Carolina (license number C007924) 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 1942515846.

Contact Information

	Mrs Tracy Blackmon, MSW, LCSW, LCAS
	1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240
	(919) 734-6676
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tracy Blackmon
Gender	Female
Speciality	Social Worker - Clinical
Location	1706 Wayne Memorial Dr, Goldsboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942515846
Provider Enumeration Date: 08/16/2010
Last Update Date: 02/27/2013

Medicare PECOS Information:

PECOS PAC ID: 4385899293
Enrollment ID: I20130226000442

Medical Identifiers

Medical identifiers for Mrs Tracy Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942515846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C007924 (North Carolina)	Primary
1041C0700X	Social Worker - Clinical	1823 (North Carolina)	Secondary

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 Tracy Blackmon allows following entities to bill medicare on her behalf.

Entity Name	Waynesboro Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760417570 PECOS PAC ID: 3274445903 Enrollment ID: O20031103000145

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 Tracy 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
Mrs Tracy Blackmon, MSW, LCSW, LCAS 305 Jacobs Ridge Dr, Goldsboro, NC 27534-8691 Ph: (919) 778-1552	Mrs Tracy Blackmon, MSW, LCSW, LCAS 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676

Reviews and Comments

Social Worker in Goldsboro, NC

Ms. Lakisha King, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Wayne Memorial Dr, Suite A & B, Goldsboro, NC 27534 Phone: 919-734-0753
Mr. Jerome L Ellis, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952
Comatha B Johnson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 N Berkeley Blvd, Goldsboro, NC 27534 Phone: 919-751-0277 Fax: 919-751-0278
Pattie Lou Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676
Ms. Brianna Nicole Davis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Boyette Dr, Goldsboro, NC 27534 Phone: 919-394-3801
Mr. William Lowry Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119
Sarah Beth Jackson, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1401 W Ash St, Goldsboro, NC 27530 Phone: 919-947-8448

Mrs Tracy Blackmon, MSW, LCSW, LCAS - Medicare Clinical Social Worker in Goldsboro, NC