Billy Jacob Blackmon, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Saint Simons Island, Georgia. His current practice location is
154 Rosemont St, Saint Simons Island, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 580-8162.
Billy Jacob Blackmon is licensed to practice in Georgia (license number 001196) 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 1215058110.
Physician's Profile
Full Name | Billy Jacob Blackmon |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 154 Rosemont St, Saint Simons Island, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Billy Jacob Blackmon attended and graduated from in
NPI Data:
- NPI Number: 1215058110
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Billy Jacob Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215058110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | DR.0058928 (Colorado) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 35.094883 (Ohio) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 001196 (Georgia) | 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. Billy Jacob 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 |
Billy Jacob Blackmon, MD 154 Rosemont St, Saint Simons Island, GA 31522-1777 Ph: (912) 580-8162 | Billy Jacob Blackmon, MD 154 Rosemont St, Saint Simons Island, GA 31522-1777 Ph: (912) 580-8162 |
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