Dr Demetrious J Blackmon, MD in Stockbridge, GA

Dr Demetrious J Blackmon, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Stockbridge, Georgia. He went to University Of South Alabama College Of Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Nephrology. His current practice location is 250 Village Center Pwky, Suite 100, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 289-0508.

Dr Demetrious J Blackmon is licensed to practice in Georgia (license number 57778) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1578592994.

Contact Information

	Dr Demetrious J Blackmon, MD
	250 Village Center Pwky, Suite 100, Stockbridge, GA 30281-9044
	(678) 289-0508
	(678) 289-0124

Map and Direction

Physician's Profile

Full Name	Dr Demetrious J Blackmon
Gender	Male
Speciality	Nephrology
Experience	24 Years
Location	250 Village Center Pwky, Stockbridge, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Demetrious J Blackmon attended and graduated from University Of South Alabama College Of Medicine in 2002

NPI Data:

NPI Number: 1578592994
Provider Enumeration Date: 06/30/2006
Last Update Date: 03/04/2015

Medicare PECOS Information:

PECOS PAC ID: 6103851225
Enrollment ID: I20080520000248

Medical Identifiers

Medical identifiers for Dr Demetrious J Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578592994	NPI	-	NPPES
009934159	Medicaid	AL
662769049A	Medicaid	GA
P00254515	Other	TN	RAILROAD MEDICARE
3334458	Medicaid	TN
4111806	Other	TN	BCBS OF TENNESSEE
662769049F	Medicaid	GA
3334459	Medicaid	TN
581365705	Other	GA	CHAMPUS
4152444	Other	TN	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD38696 (Tennessee)	Secondary
207RN0300X	Internal Medicine - Nephrology	57778 (Georgia)	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. Dr Demetrious J Blackmon allows following entities to bill medicare on his behalf.

Entity Name	Southern Crescent Nephrology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659328474 PECOS PAC ID: 2466449269 Enrollment ID: O20040426000955

Entity Name	Preferred Vascular Services Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598037822 PECOS PAC ID: 1850552142 Enrollment ID: O20120413000013

Entity Name	Preferred Vascular Services Southeast Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861992976 PECOS PAC ID: 3577812312 Enrollment ID: O20180828000280

Entity Name	Preferred Vascular Services Southwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790285229 PECOS PAC ID: 0446502918 Enrollment ID: O20181010003246

Entity Name	Preferred Vascular Services Macon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437659455 PECOS PAC ID: 6406108984 Enrollment ID: O20181010003906

Entity Name	Preferred Vascular Services Northeast
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780184218 PECOS PAC ID: 3577815695 Enrollment ID: O20181017002434

Entity Name	Monogram Health Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255930228 PECOS PAC ID: 4880004183 Enrollment ID: O20210505003249

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. Dr Demetrious J 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
Dr Demetrious J Blackmon, MD 250 Village Center Pkwy, Suite 100, Stockbridge, GA 30281-9104 Ph: (678) 289-0508	Dr Demetrious J Blackmon, MD 250 Village Center Pwky, Suite 100, Stockbridge, GA 30281-9044 Ph: (678) 289-0508

Reviews and Comments

Internal Medicine Doctors in Stockbridge, GA

Joshua A King, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-5901
Dr. Ashar Ul Islam Usmani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 135 N Park Pl, Stockbridge, GA 30281 Phone: 770-505-1500
Dr. Cosmo Fowler, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 135 N Park Pl Ste 200, Stockbridge, GA 30281 Phone: 678-289-7960 Fax: 678-289-7962
Deepa Nankani, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-367-3014
Gurinderjit Kaur Sidhu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1050 Eagles Landing Pkwy Ste 302, Stockbridge, GA 30281 Phone: 770-507-0070 Fax: 770-507-7463
Nizar Ali Tejani, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1004 Hospital Drive, Stockbridge, GA 30281 Phone: 770-507-9929 Fax: 770-507-9930
Dr. Saurabh Singh, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-367-3014

Dr Demetrious J Blackmon, MD - Medicare Nephrology in Stockbridge, GA