Victoria Elise Blackmon, in Memphis, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Victoria Elise Blackmon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Memphis, Tennessee. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Willow Anesthesia Services, Llc and her current practice location is 6019 Walnut Grove Rd, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 226-5000.

Victoria Elise Blackmon is licensed to practice in Tennessee (license number 29781) 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 1831796614.

Contact Information

	Victoria Elise Blackmon,
	6019 Walnut Grove Rd, Memphis, TN 38120-2113
	(901) 226-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Victoria Elise Blackmon
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	6019 Walnut Grove Rd, Memphis, Tennessee
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:

Victoria Elise Blackmon graduated from nursing school in 2021

NPI Data:

NPI Number: 1831796614
Provider Enumeration Date: 10/05/2020
Last Update Date: 07/09/2021

Medicare PECOS Information:

PECOS PAC ID: 1254733942
Enrollment ID: I20221004003497

Medical Identifiers

Medical identifiers for Victoria Elise Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831796614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	29781 (Tennessee)	Primary
367500000X	Nurse Anesthetist, Certified Registered	133854 (Tennessee)	Secondary
163WS0200X	Registered Nurse - School	904087 (Mississippi)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Willow Anesthesia Services, Llc	9234279183	28

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. Victoria Elise Blackmon allows following entities to bill medicare on her behalf.

Entity Name	Willow Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308

Entity Name	Willow Pain And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093188096 PECOS PAC ID: 7113201849 Enrollment ID: O20170224001178

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. Victoria Elise 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
Victoria Elise Blackmon, 33 E Northwood Dr, Memphis, TN 38111-4703 Ph: (601) 594-4563	Victoria Elise Blackmon, 6019 Walnut Grove Rd, Memphis, TN 38120-2113 Ph: (901) 226-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Memphis, TN

Tara Orr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119 Phone: 901-682-2872
Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827
Kathleen B Weiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-6150 Fax: 901-685-6454
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014
Jennifer Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827

Victoria Elise Blackmon, - Medicare Certified Registered Nurse Anesthetist (crna) in Memphis, TN