Ms Kristen Bloom, MHC in Carthage, NY - Medicare Counselor Provider

Ms Kristen Bloom, MHC is a medicare enrolled "Counselor - Mental Health" provider in Carthage, New York. Her current practice location is 3 Bridge St, Carthage, New York. You can reach out to her office (for appointments etc.) via phone at (315) 493-1340.

Ms Kristen Bloom is licensed to practice in New York (license number 004528) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609177336.

Contact Information

	Ms Kristen Bloom, MHC
	3 Bridge St, Carthage, NY 13619-1353
	(315) 493-1340
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kristen Bloom
Gender	Female
Speciality	Counselor - Mental Health
Location	3 Bridge St, Carthage, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609177336
Provider Enumeration Date: 11/11/2010
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9032558499
Enrollment ID: I20240417003796

Medical Identifiers

Medical identifiers for Ms Kristen Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609177336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	004528 (New York)	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. Ms Kristen Bloom allows following entities to bill medicare on her behalf.

Entity Name	Carthage Area Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856

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. Ms Kristen Bloom 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 Address	Practice Location Address
Ms Kristen Bloom, MHC 1001 West St, Carthage, NY 13619-9703 Ph: (315) 493-1000	Ms Kristen Bloom, MHC 3 Bridge St, Carthage, NY 13619-1353 Ph: (315) 493-1340

Reviews and Comments

Counselor in Carthage, NY

Ms. Thea Kaitlynne Bohannon, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306
Michele White, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge Street, Bh Clinic, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306
Ms. Jeri Lynn Gray, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 21986 Cole Rd, Carthage, NY 13619 Phone: 315-493-5020
Debra Lou Clark, LMHC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306
Eleanor L Shoup, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35552 State Route 3 Apt 3, Carthage, NY 13619 Phone: 585-261-8968
Ms. Sue Ellen Kelley, LMHC, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Bridge St, Carthage, NY 13619 Phone: 315-493-3300 Fax: 315-493-3306

Ms Kristen Bloom, MHC - Medicare Counselor in Carthage, NY