Billy Jacob Blackmon, MD - Medicare Diagnostic Radiology in Saint Simons Island, GA

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Billy Jacob Blackmon, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Saint Simons Island, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Prodocs Llc, Mori Bean And Brooks Inc, North Brevard Medical Support Inc, Mori Bean And Brooks Inc and his current practice location is 154 Rosemont St, Saint Simons Island, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 580-8162.

Billy Jacob Blackmon is licensed to practice in Georgia (license number 001196) 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 1215058110.

Contact Information

Billy Jacob Blackmon, MD
154 Rosemont St,
Saint Simons Island, GA 31522-1777
(912) 580-8162
Not Available

Map and Direction




Physician's Profile

Full NameBilly Jacob Blackmon
GenderMale
SpecialityDiagnostic Radiology
Experience20 Years
Location154 Rosemont St, Saint Simons Island, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Billy Jacob Blackmon attended and graduated from Medical College Of Georgia School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1215058110
  • Provider Enumeration Date: 04/02/2007
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284758061
  • Enrollment ID: I20100831000519

Medical Identifiers

Medical identifiers for Billy Jacob Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215058110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology DR.0058928 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 35.094883 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology 001196 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarasota Memorial HospitalSarasota, FLHospital
Morgan Medical CenterMadison, GAHospital
Sacred Heart HospitalPensacola, FLHospital
Ascension Sacred Heart BayPanama city, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prodocs Llc13555866782
Mori Bean And Brooks Inc8820077878617
North Brevard Medical Support Inc761887029670
Mori Bean And Brooks Inc8820077878617

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. Billy Jacob Blackmon allows following entities to bill medicare on his behalf.
Entity NameD A Imaging, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609162585
PECOS PAC ID: 2860668324
Enrollment ID: O20120104000677
Entity NameProdocs Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346580586
PECOS PAC ID: 1355586678
Enrollment ID: O20130314000194
Entity NameImaging Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750775128
PECOS PAC ID: 3274845185
Enrollment ID: O20150707001748
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20170801003009
Entity NameRadiology Physician Solutions Of West Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104205046
PECOS PAC ID: 3577876218
Enrollment ID: O20181015000523
Entity NameTampa Bay Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518914977
PECOS PAC ID: 1456381136
Enrollment ID: O20181017001924
Entity NameSheridan Radiology Services Of Central Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275997934
PECOS PAC ID: 4688762149
Enrollment ID: O20190325000662
Entity NameUniversity Of Cincinnati Physicians Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801840434
PECOS PAC ID: 2264344480
Enrollment ID: O20191122000492
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20200306002073
Entity NameGreensboro Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821035999
PECOS PAC ID: 8729074901
Enrollment ID: O20200722000863
Entity NameTower Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467654244
PECOS PAC ID: 2860470077
Enrollment ID: O20201204001730

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. Billy Jacob 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
Billy Jacob Blackmon, MD
154 Rosemont St,
Saint Simons Island, GA 31522-1777

Ph: (912) 580-8162		Billy Jacob Blackmon, MD
154 Rosemont St,
Saint Simons Island, GA 31522-1777

Ph: (912) 580-8162

Reviews and Comments


Radiology Doctors in Saint Simons Island, GA

Philip James Villiotte, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 406 Yacht Club Ln, Saint Simons Island, GA 31522
Phone: 207-944-1440    

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.