David Blackmon, PHD in Ponte Vedra Beach, FL - Medicare Clinical Psychologist Provider

David Blackmon, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ponte Vedra Beach, Florida. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 330 A1a N Ste 325, Ponte Vedra Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 333-3389.

David Blackmon is licensed to practice in Florida (license number PY0004360) 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 1144338211.

Contact Information

	David Blackmon, PHD
	330 A1a N Ste 325, Ponte Vedra Beach, FL 32082-1826
	(904) 333-3389
	(904) 713-2989

Map and Direction

Healthcare Provider's Profile

Full Name	David Blackmon
Gender	Male
Speciality	Clinical Psychologist
Experience	35 Years
Location	330 A1a N Ste 325, Ponte Vedra Beach, 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:

David Blackmon graduated from medical school in 1989

NPI Data:

NPI Number: 1144338211
Provider Enumeration Date: 08/28/2006
Last Update Date: 10/10/2013

Medicare PECOS Information:

PECOS PAC ID: 6002083003
Enrollment ID: I20120113000658

Medical Identifiers

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

Identifier	Type	State	Issuer
1144338211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY0004360 (Florida)	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. David Blackmon allows following entities to bill medicare on his behalf.

Entity Name	David C Blackmon,phd,psych Svc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538438270 PECOS PAC ID: 0749457745 Enrollment ID: O20120113000635

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. David 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
David Blackmon, PHD 330 A1a N Ste 325, Ponte Vedra Beach, FL 32082-1826 Ph: (904) 333-3389	David Blackmon, PHD 330 A1a N Ste 325, Ponte Vedra Beach, FL 32082-1826 Ph: (904) 333-3389

Reviews and Comments

Psychologist in Ponte Vedra Beach, FL

Bambi Lynn Wadelton, PLHD Psychologist Medicare: Medicare Enrolled Practice Location: 13000 Sawgrass Village Cir, Suite 46, Ponte Vedra Beach, FL 32082 Phone: 904-280-8555 Fax: 904-280-8562
Dr. Janice Wachtel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Way, Ste 110, Ponte Vedra Beach, FL 32082 Phone: 904-834-2235 Fax: 866-531-8858
Meghan Ambrose, MS, LSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 303 Vista Lagoon Ct Unit C-1, Ponte Vedra Beach, FL 32082 Phone: 858-717-4803
Dr. Kristen Kelley, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 98 Nocatee Village Dr, Ponte Vedra Beach, FL 32081 Phone: 904-376-3800 Fax: 904-390-7392
Andrew Brown King, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Colonnade Dr Ste 230, Ponte Vedra Beach, FL 32081 Phone: 904-376-3800
Naomi Jacobs, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082 Phone: 904-687-6336

David Blackmon, PHD - Medicare Psychologist in Ponte Vedra Beach, FL