Amanda L Blackmon, PT, DPT - Medicare Physical Therapist in Laramie, WY

Amanda L Blackmon, PT, DPT is a medicare enrolled "Physical Therapist" provider in Laramie, Wyoming. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Gem City Bone And Joint Pc and her current practice location is 1909 Vista Dr, Laramie, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 721-8024.

Amanda L Blackmon is licensed to practice in Wyoming (license number PT 1501) 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 1356773998.

Contact Information

Amanda L Blackmon, PT, DPT
1909 Vista Dr,
Laramie, WY 82070-5530
(307) 721-8024
(307) 742-3093



Healthcare Provider's Profile

Full NameAmanda L Blackmon
GenderFemale
SpecialityPhysical Therapy
Experience11 Years
Location1909 Vista Dr, Laramie, Wyoming
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 L Blackmon graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1356773998
  • Provider Enumeration Date: 08/06/2013
  • Last Update Date: 07/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2961646922
  • Enrollment ID: I20130913000434

Medical Identifiers

Medical identifiers for Amanda L Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356773998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT 1501 (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gem City Bone And Joint Pc024414471521

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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 L Blackmon allows following entities to bill medicare on her behalf.
Provider NameGem City Bone & Joint Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1366412397
PECOS PAC ID: 0244144715
Enrollment ID: O20031118000791

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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 L 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 L Blackmon, PT, DPT
1909 Vista Dr,
Laramie, WY 82070-5530

Ph: (307) 721-8024
Amanda L Blackmon, PT, DPT
1909 Vista Dr,
Laramie, WY 82070-5530

Ph: (307) 721-8024

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Physical Therapist in Laramie, WY

Deanna Suder, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1771 Centennial Dr, 220, Laramie, WY 82070
Phone: 307-742-3571    
Jeri Black-farber, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1909 Vista Dr, Laramie, WY 82070
Phone: 307-745-8851    Fax: 307-742-0961
Reed L Pedrick, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3125 E Grand Ave, Suite A, Laramie, WY 82070
Phone: 307-742-3110    
Lori J Franc, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1909 Vista Dr, Laramie, WY 82070
Phone: 307-745-8851    Fax: 607-742-0961
James Boo,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1575 N 4th St Ste 101, Laramie, WY 82072
Phone: 307-745-5434    
Kendra Evans, DPT, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3125 E Grand Ave, Laramie, WY 82070
Phone: 307-742-3110    
Michael Zelyez,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1909 Vista Dr, Laramie, WY 82070
Phone: 307-721-8024    

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