Edward B Blackmon Jr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jourdanton, Texas. His current practice location is
1907 Highway 97 E Ste 220, Jourdanton, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 769-5916.
Edward B Blackmon Jr is licensed to practice in Texas (license number M0326) 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 1114092251.
Physician's Profile
| Full Name | Edward B Blackmon Jr |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 1907 Highway 97 E Ste 220, Jourdanton, Texas |
|---|
| 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:
- Edward B Blackmon Jr attended and graduated from in
NPI Data:
- NPI Number: 1114092251
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Edward B Blackmon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114092251 | NPI | - | NPPES |
| 349733YLLW | Other | TX | MEDICARE |
| 171496601 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | M0326 (Texas) | 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. Edward B Blackmon Jr 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 |
|---|
Edward B Blackmon Jr, MD
1907 Highway 97 E, Suite 220,
Jourdanton, TX 78026
Ph: (830) 769-5916 | Edward B Blackmon Jr, MD
1907 Highway 97 E Ste 220,
Jourdanton, TX 78026-1538
Ph: (830) 769-5916 |
Reviews and Comments