Mrs Katelyn Blackmon, WHNP-BC in Anderson, IN

Mrs Katelyn Blackmon, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Anderson, Indiana. Her current practice location is 1210b Medical Arts Blvd, Anderson, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 563-2843.

Mrs Katelyn Blackmon is licensed to practice in Arizona (license number 259154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902570088.

Contact Information

	Mrs Katelyn Blackmon, WHNP-BC
	1210b Medical Arts Blvd, Anderson, IN 46011-3435
	(765) 563-2843
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Katelyn Blackmon
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1210b Medical Arts Blvd, Anderson, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902570088
Provider Enumeration Date: 08/03/2021
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7214332436
Enrollment ID: I20221013002089

Medical Identifiers

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

Identifier	Type	State	Issuer
1902570088	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	259154 (Arizona)	Primary

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. Mrs Katelyn Blackmon allows following entities to bill medicare on her behalf.

Entity Name	Jane Pauley Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730488818 PECOS PAC ID: 7618152729 Enrollment ID: O20150223000139

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. Mrs Katelyn 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
Mrs Katelyn Blackmon, WHNP-BC 8038 N 600 W Ste 100, Mccordsville, IN 46055-8605 Ph: (317) 932-3426	Mrs Katelyn Blackmon, WHNP-BC 1210b Medical Arts Blvd, Anderson, IN 46011-3435 Ph: (765) 563-2843

Reviews and Comments

Nurse Practitioner Nurses in Anderson, IN

Nora D Mitiche, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1030 S Scatterfield Rd, Anderson, IN 46012 Phone: 765-644-5025 Fax: 765-643-4534
Mrs. Christina Lynn Bennett, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1931 Brown St, Anderson, IN 46016 Phone: 765-646-8247
Heather Lane, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1547 Ohio Ave, Anderson, IN 46016 Phone: 765-641-7499
Francisca Moura-souchet, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1728 Williams Way E, Anderson, IN 46011 Phone: 765-617-8398
Stephanie Sciaudone, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 W 19th St, Anderson, IN 46016 Phone: 765-393-3891 Fax: 765-393-3892
Jessica D Bode, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 Medical Arts Blvd Ste 250, Anderson, IN 46011 Phone: 765-298-4282 Fax: 765-298-4989
Mrs. Theresa R Neff, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2610 Enterprise Dr., Anderson, IN 46013 Phone: 765-683-4400 Fax: 765-642-7903

Mrs Katelyn Blackmon, WHNP-BC - Medicare Nurse Practitioner in Anderson, IN