Dr Melodie Marian Blackmon, DO - Medicare Emergency Medicine in Tyler, TX

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Dr Melodie Marian Blackmon, DO is a medicare enrolled "Emergency Medicine" physician in Tyler, Texas. Her current practice location is 1000 S Beckham Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 590-5611.

Dr Melodie Marian Blackmon is licensed to practice in Texas (license number S5847) 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 1689162257.

Contact Information

Dr Melodie Marian Blackmon, DO
1000 S Beckham Ave,
Tyler, TX 75701-1908
(903) 590-5611
Not Available

Map and Direction




Physician's Profile

Full NameDr Melodie Marian Blackmon
GenderFemale
SpecialityEmergency Medicine
Location1000 S Beckham Ave, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689162257
  • Provider Enumeration Date: 04/28/2018
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476963489
  • Enrollment ID: I20201103001293

Medical Identifiers

Medical identifiers for Dr Melodie Marian Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689162257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine S5847 (Texas)Secondary
207P00000XEmergency Medicine S5847 (Texas)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 Melodie Marian Blackmon allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Health Science Center At Tyler-facility-physician
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063400778
PECOS PAC ID: 4981699220
Enrollment ID: O20040416001048
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106
Entity NameCec San Antonio Er Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124364302
PECOS PAC ID: 3173954955
Enrollment ID: O20200511003066

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 Melodie Marian 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
Dr Melodie Marian Blackmon, DO
1000 S Beckham Ave,
Tyler, TX 75701-1908

Ph: (903) 590-5611		Dr Melodie Marian Blackmon, DO
1000 S Beckham Ave,
Tyler, TX 75701-1908

Ph: (903) 590-5611

Reviews and Comments


Emergency Medicine Doctors in Tyler, TX

James Carr, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-606-4262    
Dr. Shawn D Pierce, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 833 S Beckham Ave, Tyler, TX 75701
Phone: 903-780-4396    
Dr. James Michael Wilson, MD, MPH
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-525-1914    
Dr. Dallas Wright, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4262    Fax: 903-531-5097
Everett Dean Holley, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 E Dawson St, Tyler, TX 75701
Phone: 903-531-4262    
Dr. Jackie Rose, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Beckham Ave, Tyler, TX 75701
Phone: 903-597-0351    Fax: 903-592-5282
Steven W Cooley, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 270 Saddle Creek Dr, Tyler, TX 75703
Phone: 903-574-4341    

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.

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