Kelly Ann Blackmon, NP in Olean, NY - Medicare Nurse Practitioner

Kelly Ann Blackmon, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Olean, New York. She went to University Of South Alabama College Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Olean Medical Practice Pllc, Olean General Hospital and her current practice location is 535 Main St, Olean, New York. You can reach out to her office (for appointments etc.) via phone at (716) 372-0141.

Kelly Ann Blackmon is licensed to practice in New York (license number F305220-01) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346471851.

Contact Information

	Kelly Ann Blackmon, NP
	535 Main St, Olean, NY 14760-1500
	(716) 372-0141
	(716) 376-2225

Map and Direction

Provider's Profile

Full Name	Kelly Ann Blackmon
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	535 Main St, Olean, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Ann Blackmon attended and graduated from University Of South Alabama College Of Medicine in 2017

NPI Data:

NPI Number: 1346471851
Provider Enumeration Date: 07/31/2009
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 3779620596
Enrollment ID: I20091028000276

Medical Identifiers

Medical identifiers for Kelly Ann Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346471851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	305220 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	F305220-01 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Olean General Hospital	Olean, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Olean Medical Practice Pllc	0042698045	55
Olean General Hospital	9133111784	58

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. Kelly Ann Blackmon allows following entities to bill medicare on her behalf.

Entity Name	Olean General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531

Entity Name	Olean Medical Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285384412 PECOS PAC ID: 0042698045 Enrollment ID: O20220603000542

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. Kelly Ann 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
Kelly Ann Blackmon, NP 535 Main St, Olean, NY 14760-1500 Ph: (716) 372-0141	Kelly Ann Blackmon, NP 535 Main St, Olean, NY 14760-1500 Ph: (716) 372-0141

Reviews and Comments

Nurse Practitioner Nurses in Olean, NY

Phyllis Christine Bessey, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 535 Main St, Olean, NY 14760 Phone: 716-372-0141 Fax: 716-373-6632
Elizabeth J Kelterborn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 N Union St, Olean, NY 14760 Phone: 176-375-7500 Fax: 716-806-1287
Michele M Wooten, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 528 N Barry St, Olean, NY 14760 Phone: 716-543-3255 Fax: 716-543-3256
Beth Ann Porter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-375-7317 Fax: 716-375-7319
Mr. Clifford Pyne, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N 8th St, Olean, NY 14760 Phone: 716-373-3544 Fax: 716-373-3546
Cathy Ann Wells, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-701-1704
Brielle Lauren Cornelius, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 623 Main St, Olean, NY 14760 Phone: 716-372-4212

Kelly Ann Blackmon, NP - Medicare Nurse Practitioner in Olean, NY