Edward B Blackmon Jr, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jourdanton, Texas. He went to Medical University Of South Carolina College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Westover Hills Women's Health Pa and 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 |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 46 Years |
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| Location | 1907 Highway 97 E Ste 220, Jourdanton, Texas |
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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. |
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Medical Education and Training:
- Edward B Blackmon Jr attended and graduated from Medical University Of South Carolina College Of Medicine in 1978
NPI Data:
- NPI Number: 1114092251
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688625452
- Enrollment ID: I20050210000140
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 |
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| 207V00000X | Obstetrics & Gynecology | M0326 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Westover Hills Women's Health Pa | 9830116169 | 5 |
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. Edward B Blackmon Jr allows following entities to bill medicare on his behalf.
| Entity Name | Timberland Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528061157
PECOS PAC ID: 7719875491
Enrollment ID: O20040514000302 |
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| Entity Name | Westover Hills Women's Health Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477765824
PECOS PAC ID: 9830116169
Enrollment ID: O20051026000895 |
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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 |
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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 |
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