Dr Shannon Renee Blackmer, M D - Medicare Preventive Medicine in Portsmouth, VA

Dr Shannon Renee Blackmer, M D is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Portsmouth, Virginia. Her current practice location is Nmrtc, Directorate Of Public Health Services, 620 John Paul Jones Circle, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-0613.

Dr Shannon Renee Blackmer is licensed to practice in Virginia (license number 0101250670) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346314739.

Contact Information

Dr Shannon Renee Blackmer, M D
Nmrtc, Directorate Of Public Health Services, 620 John Paul Jones Circle,
Portsmouth, VA 23708
(757) 953-0613
Not Available



Physician's Profile

Full NameDr Shannon Renee Blackmer
GenderFemale
SpecialityPreventive Medicine - Occupational Medicine
LocationNmrtc, Directorate Of Public Health Services, Portsmouth, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346314739
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 10/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729485131
  • Enrollment ID: I20210928003073

Medical Identifiers

Medical identifiers for Dr Shannon Renee Blackmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346314739NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice A97553 (California)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 0101250670 (Virginia)Primary

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 Shannon Renee Blackmer 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
Dr Shannon Renee Blackmer, M D
109 Tucker Dr,
Suffolk, VA 23435-3573

Ph: () -
Dr Shannon Renee Blackmer, M D
Nmrtc, Directorate Of Public Health Services, 620 John Paul Jones Circle,
Portsmouth, VA 23708

Ph: (757) 953-0613

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Preventive Medicine Doctors in Portsmouth, VA

Jon Stockton, MD, MPHIL
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Circle, Portsmouth, VA 23708
Phone: 303-898-0208    
Dr. David Allen Hiland, D.O.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Suite 1100, Portsmouth, VA 23708
Phone: 757-953-0991    
Dr. Randy Wain Connolly, DO, MPH
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir Ste 1100, Portsmouth, VA 23708
Phone: 757-953-0765    
Dr. Christopher D. Clagett, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-962-6136    
Dr. John G Muller, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Suite 1100, Portsmouth, VA 23708
Phone: 757-953-0769    Fax: 757-953-0685
Dr. George Merrill Rice Iii, D.O., MPH
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-957-6467    
Dr. Marilisa Gibellato Elrod, M.D. PHD
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5652    Fax: 757-953-7134

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