Dr Kenny Ray Blackston, OD in Opp, AL - Medicare Optometry Provider

Dr Kenny Ray Blackston, OD is a medicare enrolled "Optometrist" provider in Opp, Alabama. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Optometry. His current practice location is 102 W Covington Ave, Opp, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 774-9396.

Dr Kenny Ray Blackston is licensed to practice in Alabama (license number S950-TA-529) 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 1740286301.

Contact Information

	Dr Kenny Ray Blackston, OD
	102 W Covington Ave, Opp, AL 36467-2033
	(334) 774-9396
	(334) 774-1459

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenny Ray Blackston
Gender	Male
Speciality	Optometry
Experience	25 Years
Location	102 W Covington Ave, Opp, Alabama
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:

Dr Kenny Ray Blackston graduated from medical school in 2000

NPI Data:

NPI Number: 1740286301
Provider Enumeration Date: 06/28/2005
Last Update Date: 01/17/2008

Medicare PECOS Information:

PECOS PAC ID: 1153216791
Enrollment ID: I20040225000754

Medical Identifiers

Medical identifiers for Dr Kenny Ray Blackston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740286301	NPI	-	NPPES
22-10508	Other	AL	UNITED HEALTH CARE PROV #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S950-TA-529 (Alabama)	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 Kenny Ray Blackston allows following entities to bill medicare on his behalf.

Provider Name	Kenny R Blackston Od Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710028618 PECOS PAC ID: 7315832946 Enrollment ID: O20040220000865

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 Kenny Ray Blackston 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
Dr Kenny Ray Blackston, OD 102 W Covington Ave, Opp, AL 36467-2033 Ph: (334) 774-9396	Dr Kenny Ray Blackston, OD 102 W Covington Ave, Opp, AL 36467-2033 Ph: (334) 774-9396

Reviews and Comments

Optometrist in Opp, AL

D & J Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 W Covington Ave, Opp, AL 36467 Phone: 334-774-9396 Fax: 334-774-1459
Joshua Driver Pc Optometrist Medicare: Medicare Enrolled Practice Location: 604 N Main St Ste A, Opp, AL 36467 Phone: 334-493-6600 Fax: 334-493-2991
Dr. Andrew Scott Carter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 604 N Main St, Opp, AL 36467 Phone: 334-493-6600 Fax: 334-493-2991
Dr. Joshua Jonathan Driver, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 604 N Main St, Suite A, Opp, AL 36467 Phone: 334-493-6600 Fax: 334-493-2991

Dr Kenny Ray Blackston, OD - Medicare Optometrist in Opp, AL