Ms Johnna Leigh Headley Blackerby, OD is a medicare enrolled "Optometrist" provider in Columbiana, Alabama. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Optometry. Her current practice location is
22767 Highway 25, Columbiana, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 669-4131.
Ms Johnna Leigh Headley Blackerby is licensed to practice in Alabama (license number S-C58-TA-896) 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 1730475682.
Healthcare Provider's Profile
| Full Name | Ms Johnna Leigh Headley Blackerby |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 15 Years |
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| Location | 22767 Highway 25, Columbiana, Alabama |
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| 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:
- Ms Johnna Leigh Headley Blackerby graduated from medical school in 2011
NPI Data:
- NPI Number: 1730475682
- Provider Enumeration Date: 06/20/2011
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244409514
- Enrollment ID: I20110803000621
Medical Identifiers
Medical identifiers for Ms Johnna Leigh Headley Blackerby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730475682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | S-C58-TA-896 (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. Ms Johnna Leigh Headley Blackerby allows following entities to bill medicare on her behalf.
| Provider Name | Columbiana Eye Care Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1023446549 PECOS PAC ID: 5890921464 Enrollment ID: O20131204001507 |
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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. Ms Johnna Leigh Headley Blackerby 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 |
Ms Johnna Leigh Headley Blackerby, OD 1239 Highway 46, Shelby, AL 35143-5225 Ph: (205) 337-8715 | Ms Johnna Leigh Headley Blackerby, OD 22767 Highway 25, Columbiana, AL 35051-3529 Ph: (205) 669-4131 |
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