Lee Blackmon, in Jacksonville, FL

Lee Blackmon, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Jacksonville, Florida. He went to Medical University Of South Carolina College Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Bon Secours Medical Group Greenville Specialty Care Llc and his current practice location is 580 W 8th St, 6th Floor, Suite 6005, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 244-3990.

Lee Blackmon is licensed to practice in North Carolina (license number 202100603) 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 1417489774.

Contact Information

	Lee Blackmon,
	580 W 8th St, 6th Floor, Suite 6005, Jacksonville, FL 32209-6533
	(904) 244-3990
	(904) 244-3455

Map and Direction

Physician's Profile

Full Name	Lee Blackmon
Gender	Male
Speciality	Psychiatry
Experience	8 Years
Location	580 W 8th St, Jacksonville, Florida
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:

Lee Blackmon attended and graduated from Medical University Of South Carolina College Of Medicine in 2017

NPI Data:

NPI Number: 1417489774
Provider Enumeration Date: 03/28/2017
Last Update Date: 09/29/2021

Medicare PECOS Information:

PECOS PAC ID: 8123392339
Enrollment ID: I20211007000768

Medical Identifiers

Medical identifiers for Lee Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417489774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	86392 (South Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	202100603 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	TRN24684 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bon Secours Medical Group Greenville Specialty Care Llc	1850779976	237

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. Lee Blackmon allows following entities to bill medicare on his behalf.

Entity Name	Changes Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225344096 PECOS PAC ID: 3072895655 Enrollment ID: O20170113001528

Entity Name	Bon Secours Medical Group Greenville Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070

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. Lee 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
Lee Blackmon, 5003 S Miami Blvd, Ste 300, Durham, NC 27703-8589 Ph: (919) 354-0840	Lee Blackmon, 580 W 8th St, 6th Floor, Suite 6005, Jacksonville, FL 32209-6533 Ph: (904) 244-3990

Reviews and Comments

Psychiatry & Neurology Doctors in Jacksonville, FL

Dr. Aylin Saner Emmert, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1650 Prudential Dr Ste 210, Jacksonville, FL 32207 Phone: 904-376-3800
Dr. Justin Michael Mortimer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2732 Trollie Ln, Jacksonville, FL 32211 Phone: 904-289-1254
Caitlin Gardiner, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207 Phone: 917-634-5311
Ansley Caroline Madala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Raj D Sheth, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 807 Children's Way, Jacksonville, FL 32207 Phone: 904-390-3600 Fax: 904-390-3422
Marian A Levai, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11820 Beach Boulevard, Jacksonville, FL 32246 Phone: 904-642-9100 Fax: 904-642-9108
Dr. Riaz Ahmed, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-470-5800 Fax: 352-384-8014

Lee Blackmon, - Medicare Psychiatry in Jacksonville, FL