Shawna C Blackmon, PA
Shawna C Blackmon, PA is a Physician Assistant in Nacogdoches, Texas. Qualified in 2004, 22 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.
- Years since qualifying
- 22
- Licensed in
- TX
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
3816 N University DrNacogdoches, TX 75965-2011
Phone: (903) 939-7500
Fax: (903) 939-7728
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3414 Golden Rd, Tyler, TX 75701-8336 — (903) 939-7500
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA04131 (TX) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA04131 (TX) |
Record details
| NPI number | 1487641536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 4, 2005 |
| Last updated in NPPES | February 24, 2022 |
| Certification date | February 24, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Ortholonestar Pllc — 415 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |