Mr Will Richard Blackmon Iii, PA-C - Medicare in Emeryville, CA

Mr Will Richard Blackmon Iii, PA-C is a medicare enrolled "Physician Assistant" in Emeryville, California. His current practice location is 2100 Powell St, Suite 920, Emeryville, California. You can reach out to his office (for appointments etc.) via phone at (925) 939-5800.

Mr Will Richard Blackmon Iii is licensed to practice in California (license number 51619) 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 1073925160.

Contact Information

Mr Will Richard Blackmon Iii, PA-C
2100 Powell St, Suite 920,
Emeryville, CA 94608-1826
(925) 939-5800
Not Available

Map and Direction




Provider's Profile

Full NameMr Will Richard Blackmon Iii
GenderMale
Speciality
Experience Years
Location2100 Powell St, Emeryville, California
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:
  • Mr Will Richard Blackmon Iii attended and graduated from in
  NPI Data:
  • NPI Number: 1073925160
  • Provider Enumeration Date: 05/23/2014
  • Last Update Date: 05/13/2016
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Will Richard Blackmon Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073925160NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 51619 (California)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. Mr Will Richard Blackmon Iii 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
Mr Will Richard Blackmon Iii, PA-C
Po Box 2844,
Berkeley, CA 94702-0844

Ph: () -
Mr Will Richard Blackmon Iii, PA-C
2100 Powell St, Suite 920,
Emeryville, CA 94608-1826

Ph: (925) 939-5800

Reviews and Comments


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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.