John Devin Blackburn, OD - Medicare Optometrist in Fresno, CA

John Devin Blackburn, OD is a medicare enrolled "Optometrist" provider in Fresno, California. His current practice location is 7409 N Cedar Ave, #103, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 439-3937.

John Devin Blackburn is licensed to practice in California (license number 11297TPL) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093777864.

Contact Information

John Devin Blackburn, OD
7409 N Cedar Ave, #103,
Fresno, CA 93720-3836
(559) 439-3937
(559) 325-9313



Healthcare Provider's Profile

Full NameJohn Devin Blackburn
GenderMale
SpecialityOptometrist
Location7409 N Cedar Ave, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093777864
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709974173
  • Enrollment ID: I20071119000290

Medical Identifiers

Medical identifiers for John Devin Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093777864NPI-NPPES
SD0112970MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 11297TPL (California)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. John Devin Blackburn allows following entities to bill medicare on his behalf.
Provider NamePermanente Medical Group Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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Provider NameState Of California - Department Of Developmental Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1154372498
PECOS PAC ID: 4082788732
Enrollment ID: O20081114000496

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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. John Devin Blackburn 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
John Devin Blackburn, OD
7409 N Cedar Ave, #103,
Fresno, CA 93720-3836

Ph: (559) 439-3937
John Devin Blackburn, OD
7409 N Cedar Ave, #103,
Fresno, CA 93720-3836

Ph: (559) 439-3937

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Optometrist in Fresno, CA

Dr. Scott Randall Hultman, O,D.
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Phone: 559-244-3319    
Dr. Thomas Pearson, O.D.
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Practice Location: 1360 E Herndon Ave, Suite 401, Fresno, CA 93720
Phone: 559-449-5010    Fax: 559-449-5014
Eye-q Vision Care
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Phone: 559-486-2000    
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Practice Location: 7075 N Sharon Ave, Fresno, CA 93720
Phone: 559-389-5723    Fax: 559-256-8595
Dr. David R Urien, O.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 5430 N Palm Ave, Suite 101, Fresno, CA 93704
Phone: 559-432-0606    Fax: 559-432-0608
Dr. Steven W. Shute, O.D.
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Dr. Elmer Wong, O.D.
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Practice Location: 6700 N 1st St, 103, Fresno, CA 93710
Phone: 559-438-6440    Fax: 559-438-4324

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