Cherilee C Bloom, DDS is a medicare enrolled "Dentist - General Practice" provider in Coeur Dalene, Idaho. Her current practice location is
815 West Canfield Avenue, Coeur Dalene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 762-2544.
Cherilee C Bloom is licensed to practice in Idaho (license number D3510) 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 1043320179.
Healthcare Provider's Profile
Full Name | Cherilee C Bloom |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 815 West Canfield Avenue, Coeur Dalene, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043320179
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 04/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 5496022907
- Enrollment ID: I20170602002191
Medical Identifiers
Medical identifiers for Cherilee C Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043320179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D3510 (Idaho) | Primary |
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. Cherilee C 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 |
Cherilee C Bloom, DDS 815 West Canfield Avenue, Coeur Dalene, ID 83815 Ph: (208) 762-2544 | Cherilee C Bloom, DDS 815 West Canfield Avenue, Coeur Dalene, ID 83815 Ph: (208) 762-2544 |
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