Dr Nora L Bloomingdale, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Everett, Washington. Her current practice location is
4216 122nd Pl Se, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 475-1207.
Dr Nora L Bloomingdale is licensed to practice in Washington (license number PY60674062) 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 1407241409.
Healthcare Provider's Profile
Full Name | Dr Nora L Bloomingdale |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical |
---|
Location | 4216 122nd Pl Se, Everett, Washington |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407241409
- Provider Enumeration Date: 04/06/2015
- Last Update Date: 02/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052659927
- Enrollment ID: I20190219002439
Medical Identifiers
Medical identifiers for Dr Nora L Bloomingdale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407241409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LH60562634 (Washington) | Secondary |
103TC0700X | Psychologist - Clinical | PY60674062 (Washington) | 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. Dr Nora L Bloomingdale allows following entities to bill medicare on her behalf.
Entity Name | Emily Program Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204 |
---|
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. Dr Nora L Bloomingdale 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 |
Dr Nora L Bloomingdale, PSYD 16706 30th Dr Se, Bothell, WA 98012-6039 Ph: () - | Dr Nora L Bloomingdale, PSYD 4216 122nd Pl Se, Everett, WA 98208-9100 Ph: (425) 475-1207 |
Reviews and Comments