Kahni C Blackmon, PHD in Revere, MA - Medicare Clinical Psychologist

Kahni C Blackmon, PHD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Revere, Massachusetts. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The General Hospital Corporation and her current practice location is Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 485-6180.

Kahni C Blackmon is licensed to practice in Massachusetts (license number PSY-9439) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902177884.

Contact Information

	Kahni C Blackmon, PHD
	Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151
	(781) 485-6180
	Not Available

Map and Direction

Physician's Profile

Full Name	Kahni C Blackmon
Gender	Female
Speciality	Clinical Psychologist
Experience	16 Years
Location	Mgh Revere Healthcare Center, Revere, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kahni C Blackmon graduated from medical school in 2008

NPI Data:

NPI Number: 1902177884
Provider Enumeration Date: 01/24/2012
Last Update Date: 01/24/2012

Medicare PECOS Information:

PECOS PAC ID: 1951561240
Enrollment ID: I20120323000215

Medical Identifiers

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

Identifier	Type	State	Issuer
1902177884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	PSY-9439 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Massachusetts General Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The General Hospital Corporation	6507803806	1054

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. Kahni C Blackmon allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. Kahni C 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
Kahni C Blackmon, PHD Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 Ph: (781) 485-6180	Kahni C Blackmon, PHD Mgh Revere Healthcare Center, 300 Ocean Ave., Revere, MA 02151 Ph: (781) 485-6180

Reviews and Comments

Psychiatry & Neurology Doctors in Revere, MA

Leonard R Friedman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 85 Broadway, Revere, MA 02151 Phone: 781-284-1780
Dr. Dominique Vo, MD MPH Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 300 Ocean Ave, Mgh Revere Healthcare Center, Revere, MA 02151 Phone: 781-485-6100 Fax: 781-485-6119
Batool Kazim, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Mgh Healthcare Center, Revere, MA 02151 Phone: 781-485-6109
Dr. Emine Nalan Ward, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Revere Health Care Center, Revere, MA 02151 Phone: 781-485-6118 Fax: 781-485-6119
Frank Copeli, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 385 Broadway Ste 203, Revere, MA 02151 Phone: 443-353-9263
Dr. Antonio Melendez Lim, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Ocean Ave, Mgh-revere Healthcare Center, Revere, MA 02151 Phone: 781-485-6100

Kahni C Blackmon, PHD - Medicare Clinical Psychologist in Revere, MA