ALONZO CARLOS BLACKMON D.D.S - NPI 1821422908

Q: What is Alonzo Blackmon's NPI number?

The NPI number for Alonzo Blackmon is 1821422908. It was assigned to this individual provider in the NPPES registry on August 26, 2013.

Q: What is Alonzo Blackmon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Alonzo Blackmon was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alonzo Carlos Blackmon D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALONZO CARLOS BLACKMON D.D.S (NPI 1821422908) is an individual prosthodontics provider in Gainesville, Florida, licensed in Florida (DN23627) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821422908

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameALONZO CARLOS BLACKMONCredential: D.D.S

Location Address1395 CENTER DR RM D1-19Gainesville, FL 32610-2803

Mailing Address1395 Center Dr Rm D1-19Gainesville, FL 32610-0415 · (352) 273-6910

Phone(352) 273-6910

Sole ProprietorNo

Enumeration DateAugust 26, 2013

Last NPPES UpdateSeptember 23, 2020

NPPES CertifiedSeptember 23, 2020

✔ NPI 1821422908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in FL · DN23627

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentistTaxonomy 122300000X · License 0401414082 (VA)

1395 CENTER DR RM D1-19, Gainesville, FL 32610

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alonzo Carlos Blackmon D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIA HOANG

Dentist (Prosthodontics)