Mr James Edwin Blackmon, LPC in Tupelo, MS - Medicare Counselor Provider

Mr James Edwin Blackmon, LPC is a medicare enrolled "Counselor - Professional" provider in Tupelo, Mississippi. His current practice location is 210 E Main St Ste 2c, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 760-0052.

Mr James Edwin Blackmon is licensed to practice in Mississippi (license number 0177) 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 1376175521.

Contact Information

	Mr James Edwin Blackmon, LPC
	210 E Main St Ste 2c, Tupelo, MS 38804-4017
	(662) 760-0052
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr James Edwin Blackmon
Gender	Male
Speciality	Counselor - Professional
Location	210 E Main St Ste 2c, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376175521
Provider Enumeration Date: 02/06/2020
Last Update Date: 02/06/2020

Medicare PECOS Information:

PECOS PAC ID: 3476091042
Enrollment ID: I20240814000538

Medical Identifiers

Medical identifiers for Mr James Edwin Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376175521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0177 (Mississippi)	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 James Edwin Blackmon allows following entities to bill medicare on his behalf.

Entity Name	Heale Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093410243 PECOS PAC ID: 7416316880 Enrollment ID: O20230703000387

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 James Edwin 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
Mr James Edwin Blackmon, LPC 306 Timber Cv, Oxford, MS 38655-5871 Ph: (662) 801-0271	Mr James Edwin Blackmon, LPC 210 E Main St Ste 2c, Tupelo, MS 38804-4017 Ph: (662) 760-0052

Reviews and Comments

Counselor in Tupelo, MS

Tiffany Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 Fax: 662-680-6416
Alyssa Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Caitlyn Bouldin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Centrell Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Kayla Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-810-4125
Keyaira Standifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Mrs. Dorothy Elder Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416

Mr James Edwin Blackmon, LPC - Medicare Counselor in Tupelo, MS