Adam J Blackmon, CRNA in Tulsa, OK - Medicare Certified Registered Nurse Anesthetist (crna)

Adam J Blackmon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tulsa, Oklahoma. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emergenchealth Pllc and his current practice location is 1923 S Utica Ave, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 744-3664.

Adam J Blackmon is licensed to practice in Oklahoma (license number 101534) 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 1053776542.

Contact Information

	Adam J Blackmon, CRNA
	1923 S Utica Ave, Tulsa, OK 74104-6520
	(918) 744-3664
	(918) 293-3178

Map and Direction

Provider's Profile

Full Name	Adam J Blackmon
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	1923 S Utica Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adam J Blackmon graduated from nursing school in 2015

NPI Data:

NPI Number: 1053776542
Provider Enumeration Date: 12/28/2015
Last Update Date: 12/28/2015

Medicare PECOS Information:

PECOS PAC ID: 9335442763
Enrollment ID: I20160119002404

Medical Identifiers

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

Identifier	Type	State	Issuer
1053776542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	101534 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alliancehealth Midwest	Midwest city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergenchealth Pllc	1355606641	585

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. Adam J Blackmon allows following entities to bill medicare on his behalf.

Entity Name	St. John Anesthesia Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265446579 PECOS PAC ID: 4789607938 Enrollment ID: O20060113000295

Entity Name	Western Oklahoma Anesthesia Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881102614 PECOS PAC ID: 4587924865 Enrollment ID: O20180206000663

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20190618003098

Entity Name	Western Oklahoma Anesthesia Consultants Woodward Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427615731 PECOS PAC ID: 3779817960 Enrollment ID: O20190621000715

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. Adam 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
Adam J Blackmon, CRNA 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: () -	Adam J Blackmon, CRNA 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 744-3664

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tulsa, OK

Mrs. Ashley Dinkel Westerman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 S 109th East Ave, Tulsa, OK 74146 Phone: 918-392-1400
Dr. Samuel Shyam Adhikari, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-0612
Tara A Mccants, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362
Wendy A. Watkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 S. Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-918-4150
Clinton Alsup, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 800-939-7440
Stan Allen Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6839 S Canton Ave, Tulsa, OK 74136 Phone: 918-494-0612 Fax: 918-481-5170
Christopher Thomas Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1923 S Utica Ave, Tulsa, OK 74104 Phone: 918-744-2362 Fax: 806-356-2939

Adam J Blackmon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tulsa, OK