Amanda Blackmon, - Medicare Certified Registered Nurse Anesthetist (crna) in Tupelo, MS

Amanda Blackmon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tupelo, Mississippi. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Dhs Anesthesia Llc, North Mississippi Medical Center Inc and her current practice location is 830 S Gloster St, Tupelo, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 377-4394.

Amanda Blackmon is licensed to practice in Mississippi (license number R898893) 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 1083995518.

Contact Information

Amanda Blackmon,
830 S Gloster St,
Tupelo, MS 38801-4934
(662) 377-4394
Not Available



Provider's Profile

Full NameAmanda Blackmon
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location830 S Gloster St, Tupelo, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Blackmon graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1083995518
  • Provider Enumeration Date: 08/29/2011
  • Last Update Date: 01/12/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8921279142
  • Enrollment ID: I20150210000478

Medical Identifiers

Medical identifiers for Amanda Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083995518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R898893 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dhs Anesthesia Llc539501747921
North Mississippi Medical Center Inc9931010600295

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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. Amanda Blackmon allows following entities to bill medicare on her behalf.
Entity NameNorth Mississippi Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972608347
PECOS PAC ID: 9931010600
Enrollment ID: O20040413000541

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Entity NameTupelo Anesthesia Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558390443
PECOS PAC ID: 4587566344
Enrollment ID: O20040508000197

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Entity NameDhs Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184147431
PECOS PAC ID: 5395017479
Enrollment ID: O20170824001148

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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. Amanda 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
Amanda Blackmon,
Po Box 3294,
Tupelo, MS 38803-3294

Ph: (662) 377-4394
Amanda Blackmon,
830 S Gloster St,
Tupelo, MS 38801-4934

Ph: (662) 377-4394

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Nurse Anesthetist, Certified Registered Nurses in Tupelo, MS

Lauren Elizabeth Abel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Sarah Cotton Ashmore, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Mr. Bradley W Jones, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Lauren H. Cook, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Gloster St, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Shannon D Barber, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Jennifer M Little, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045
Donald R Carter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 830 South Gloster, Tupelo, MS 38801
Phone: 662-377-4394    Fax: 662-377-7045

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