David Bloom, MD is a medicare enrolled "Surgery" physician in Rockaway Park, New York. His current practice location is
136 Beach 117th St, #513, Rockaway Park, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 603-4827.
David Bloom is licensed to practice in New York (license number 258003) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417261785.
Physician's Profile
Full Name | David Bloom |
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Gender | Male |
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Speciality | Surgery |
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Location | 136 Beach 117th St, Rockaway Park, New York |
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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: 1417261785
- Provider Enumeration Date: 07/29/2010
- Last Update Date: 04/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 9739378647
- Enrollment ID: I20150909001851
Medical Identifiers
Medical identifiers for David Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417261785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 258003 (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. David Bloom allows following entities to bill medicare on his behalf.
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191230002111 |
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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. David 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 |
David Bloom, MD 136 Beach 117th St, #513, Rockaway Park, NY 11694-2079 Ph: (516) 603-4827 | David Bloom, MD 136 Beach 117th St, #513, Rockaway Park, NY 11694-2079 Ph: (516) 603-4827 |
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