Samantha J Vander Bloomen, RD in La Crosse, WI - Medicare Dietitian, Registered Provider

Samantha J Vander Bloomen, RD is a medicare enrolled "Dietitian, Registered" provider in La Crosse, Wisconsin. Her current practice location is 700 West Ave S, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 758-0940.

Samantha J Vander Bloomen is licensed to practice in Wisconsin (license number 2658) 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 1275969420.

Contact Information

	Samantha J Vander Bloomen, RD
	700 West Ave S, La Crosse, WI 54601-8806
	(608) 758-0940
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha J Vander Bloomen
Gender	Female
Speciality	Dietitian, Registered
Location	700 West Ave S, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275969420
Provider Enumeration Date: 09/19/2013
Last Update Date: 01/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8123437043
Enrollment ID: I20230119000250

Medical Identifiers

Medical identifiers for Samantha J Vander Bloomen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275969420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164.006887 (Illinois)	Secondary
133V00000X	Dietitian, Registered	2658 (Wisconsin)	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. Samantha J Vander Bloomen allows following entities to bill medicare on her behalf.

Provider Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

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. Samantha J Vander Bloomen 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
Samantha J Vander Bloomen, RD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940	Samantha J Vander Bloomen, RD 700 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 758-0940

Reviews and Comments

Dietitian, Registered in La Crosse, WI

Angela Marie Onsgard, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Marisa A Pruitt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Rebecca V Cripe, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Clara Marie Wiencek Williams, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Linda M Barbour, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Ms. Rachel Cora Johnson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Heather L Gustafson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467

Samantha J Vander Bloomen, RD - Medicare Dietitian in La Crosse, WI