Adam J Blackmon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tulsa, OK

Adam J Blackmon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tulsa, Oklahoma. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emergenchealth Pllc and his current practice location is 1923 S Utica Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 744-3664.

Adam J Blackmon is licensed to practice in Oklahoma (license number 101534) 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 1053776542.

Contact Information

Adam J Blackmon, CRNA
1923 S Utica Ave,
Tulsa, OK 74104-6520
(918) 744-3664
(918) 293-3178

Map and Direction




Provider's Profile

Full NameAdam J Blackmon
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1923 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adam J Blackmon graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1053776542
  • Provider Enumeration Date: 12/28/2015
  • Last Update Date: 12/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9335442763
  • Enrollment ID: I20160119002404

Medical Identifiers

Medical identifiers for Adam J Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053776542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 101534 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alliancehealth MidwestMidwest city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergenchealth Pllc1355606641540

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. Adam J Blackmon allows following entities to bill medicare on his behalf.
Entity NameSt. John Anesthesia Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265446579
PECOS PAC ID: 4789607938
Enrollment ID: O20060113000295
Entity NameWestern Oklahoma Anesthesia Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881102614
PECOS PAC ID: 4587924865
Enrollment ID: O20180206000663
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20190618003098
Entity NameWestern Oklahoma Anesthesia Consultants Woodward Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427615731
PECOS PAC ID: 3779817960
Enrollment ID: O20190621000715

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. Adam J 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
Adam J Blackmon, CRNA
1923 S Utica Ave,
Tulsa, OK 74104-6520

Ph: () -
Adam J Blackmon, CRNA
1923 S Utica Ave,
Tulsa, OK 74104-6520

Ph: (918) 744-3664

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Tulsa, OK

Mrs. Ashley Dinkel Westerman,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146
Phone: 918-392-1400    
Dr. Samuel Shyam Adhikari, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6161 S Yale Ave, Tulsa, OK 74136
Phone: 918-494-0612    
Tara A Mccants, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1923 S Utica Ave, Tulsa, OK 74104
Phone: 918-744-2362    
Wendy A. Watkins, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104
Phone: 918-918-4150    
Clinton Alsup,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1120 S Utica Ave, Tulsa, OK 74104
Phone: 800-939-7440    
Stan Allen Young, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6839 S Canton Ave, Tulsa, OK 74136
Phone: 918-494-0612    Fax: 918-481-5170
Christopher Thomas Ward, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1923 S Utica Ave, Tulsa, OK 74104
Phone: 918-744-2362    Fax: 806-356-2939

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.