Mrs Tracy Blackmon, MSW, LCSW, LCAS - Medicare Clinical Social Worker in Goldsboro, NC

Mrs Tracy Blackmon, MSW, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. Her current practice location is 1706 Wayne Memorial Dr, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 734-6676.

Mrs Tracy Blackmon is licensed to practice in North Carolina (license number C007924) 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 1942515846.

Contact Information

Mrs Tracy Blackmon, MSW, LCSW, LCAS
1706 Wayne Memorial Dr,
Goldsboro, NC 27534-2240
(919) 734-6676
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Tracy Blackmon
GenderFemale
SpecialitySocial Worker - Clinical
Location1706 Wayne Memorial Dr, Goldsboro, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942515846
  • Provider Enumeration Date: 08/16/2010
  • Last Update Date: 02/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4385899293
  • Enrollment ID: I20130226000442

Medical Identifiers

Medical identifiers for Mrs Tracy Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942515846NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C007924 (North Carolina)Primary
1041C0700XSocial Worker - Clinical 1823 (North Carolina)Secondary

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 Tracy Blackmon allows following entities to bill medicare on her behalf.
Entity NameWaynesboro Family Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760417570
PECOS PAC ID: 3274445903
Enrollment ID: O20031103000145

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 Tracy 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
Mrs Tracy Blackmon, MSW, LCSW, LCAS
305 Jacobs Ridge Dr,
Goldsboro, NC 27534-8691

Ph: (919) 778-1552
Mrs Tracy Blackmon, MSW, LCSW, LCAS
1706 Wayne Memorial Dr,
Goldsboro, NC 27534-2240

Ph: (919) 734-6676

Reviews and Comments


Social Worker in Goldsboro, NC

Ms. Lakisha King, LCSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1318 Wayne Memorial Dr, Suite A & B, Goldsboro, NC 27534
Phone: 919-734-0753    
Mr. Jerome L Ellis,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531
Phone: 919-722-0928    Fax: 919-722-1952
Comatha B Johnson, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1705 N Berkeley Blvd, Goldsboro, NC 27534
Phone: 919-751-0277    Fax: 919-751-0278
Pattie Lou Jones, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534
Phone: 919-734-6676    
Ms. Brianna Nicole Davis, LCSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1606 Boyette Dr, Goldsboro, NC 27534
Phone: 919-394-3801    
Mr. William Lowry Jr.,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 307 Beech St, Goldsboro, NC 27530
Phone: 919-731-2119    
Sarah Beth Jackson, LCSWA
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1401 W Ash St, Goldsboro, NC 27530
Phone: 919-947-8448    

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.