| Shawna C Blackmon, PA | |
|
3816 N University Dr, Nacogdoches, TX 75965-2011 | |
| (903) 939-7500 | |
| (903) 939-7728 |
| Full Name | Shawna C Blackmon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3816 N University Dr, Nacogdoches, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487641536 | NPI | - | NPPES |
| P00743048 | Other | TX | RAILROAD MEDICARE |
| 8360ND | Other | TX | BLUE CROSS BLUE SHIELD |
| 206265503 | Medicaid | TX | |
| 206265502 | Medicaid | TX | |
| 206265504 | Medicaid | TX | |
| 206265501 | Medicaid | TX | |
| 8Y8693 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA04131 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA04131 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna C Blackmon, PA 3414 Golden Rd, Tyler, TX 75701-8336 Ph: (903) 939-7500 | Shawna C Blackmon, PA 3816 N University Dr, Nacogdoches, TX 75965-2011 Ph: (903) 939-7500 |
Joshua Talbert, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4909 North St Ste 202, Nacogdoches, TX 75965 Phone: 936-560-9898 | |
Mrs. Lauren Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4730 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-564-6107 | |
Courtney Avra, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Ms. Whitney Revette Hamilton, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1106 South St, Nacogdoches, TX 75964 Phone: 936-564-8611 Fax: 936-462-8489 | |
Amanda Mccarty, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4848 Ne Stallings Dr, Suite 205, Nacogdoches, TX 75965 Phone: 936-560-6939 Fax: 936-564-1258 | |
Mr. Eduardo Enrique Cantu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-560-3800 Fax: 936-569-4111 | |
Robert Naquin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75961 Phone: 936-569-9481 |