| Dr Joseph Allen Blackmon, MD | |
|
3101 Parisa Dr, Paducah, KY 42003-4584 | |
| (270) 444-8477 | |
| (270) 444-8479 |
| Full Name | Dr Joseph Allen Blackmon |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 3101 Parisa Dr, Paducah, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003133901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 35.122932 (Ohio) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 46671 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paducah Dermatology Pllc | 0840274981 | 10 |
| Entity Name | Paducah Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831242551 PECOS PAC ID: 0840274981 Enrollment ID: O20040616000112 |
| Entity Name | Dermatology Consultants, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992701320 PECOS PAC ID: 4880660208 Enrollment ID: O20040908000206 |
| Entity Name | Paducah Dermatology Surgery Center, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689401465 PECOS PAC ID: 3375062581 Enrollment ID: O20250521001122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Allen Blackmon, MD 3101 Parisa Dr, Paducah, KY 42003-4584 Ph: (270) 444-8477 | Dr Joseph Allen Blackmon, MD 3101 Parisa Dr, Paducah, KY 42003-4584 Ph: (270) 444-8477 |
Dr. James Michael Giannini, M. D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2138 Broadway St, Paducah, KY 42001 Phone: 270-444-7248 Fax: 270-444-6014 | |
Halden H Ford, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3101 Parisa Dr, Paducah, KY 42003 Phone: 270-444-8477 Fax: 270-444-8479 | |
Evelyn Montgomery Jones, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2721 W Park Dr, Paducah, KY 42001 Phone: 270-554-7540 Fax: 270-554-0316 |