Alonzo Carlos Blackmon, DDS - Medicare Dentist in Gainesville, FL

Alonzo Carlos Blackmon, DDS is a medicare enrolled "Dentist - Prosthodontics" provider in Gainesville, Florida. His current practice location is 1395 Center Dr Rm D1-19, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 273-6910.

Alonzo Carlos Blackmon is licensed to practice in Florida (license number DN23627) 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 1821422908.

Contact Information

Alonzo Carlos Blackmon, DDS
1395 Center Dr Rm D1-19,
Gainesville, FL 32610-2803
(352) 273-6910
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlonzo Carlos Blackmon
GenderMale
SpecialityDentist - Prosthodontics
Location1395 Center Dr Rm D1-19, Gainesville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821422908
  • Provider Enumeration Date: 08/26/2013
  • Last Update Date: 09/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597158915
  • Enrollment ID: I20220208001285

Medical Identifiers

Medical identifiers for Alonzo Carlos Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821422908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 0401414082 (Virginia)Secondary
1223P0700XDentist - Prosthodontics DN23627 (Florida)Primary

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. Alonzo Carlos 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 AddressPractice Location Address
Alonzo Carlos Blackmon, DDS
1395 Center Dr Rm D1-19,
Gainesville, FL 32610-0415

Ph: (352) 273-6910
Alonzo Carlos Blackmon, DDS
1395 Center Dr Rm D1-19,
Gainesville, FL 32610-2803

Ph: (352) 273-6910

Reviews and Comments


Dentist in Gainesville, FL

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Phone: 352-376-7335    Fax: 352-378-5769

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.