David Blackmon, PHD - Medicare Psychologist in Ponte Vedra Beach, FL

David Blackmon, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ponte Vedra Beach, Florida. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 330 A1a N Ste 325, Ponte Vedra Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 333-3389.

David Blackmon is licensed to practice in Florida (license number PY0004360) 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 1144338211.

Contact Information

David Blackmon, PHD
330 A1a N Ste 325,
Ponte Vedra Beach, FL 32082-1826
(904) 333-3389
(904) 713-2989

Map and Direction




Healthcare Provider's Profile

Full NameDavid Blackmon
GenderMale
SpecialityClinical Psychologist
Experience35 Years
Location330 A1a N Ste 325, Ponte Vedra Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Blackmon graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1144338211
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 10/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6002083003
  • Enrollment ID: I20120113000658

Medical Identifiers

Medical identifiers for David Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144338211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY0004360 (Florida)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. David Blackmon allows following entities to bill medicare on his behalf.
Entity NameDavid C Blackmon,phd,psych Svc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538438270
PECOS PAC ID: 0749457745
Enrollment ID: O20120113000635

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. David 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 AddressPractice Location Address
David Blackmon, PHD
330 A1a N Ste 325,
Ponte Vedra Beach, FL 32082-1826

Ph: (904) 333-3389
David Blackmon, PHD
330 A1a N Ste 325,
Ponte Vedra Beach, FL 32082-1826

Ph: (904) 333-3389

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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