Dr Adam Scott Bloom, DO | |
111 Colchester Ave, Burlington, VT 05401-1473 | |
(802) 847-2434 | |
Not Available |
Full Name | Dr Adam Scott Bloom |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 111 Colchester Ave, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922348655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0102203901 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 032-0134112 (Vermont) | Primary |
Entity Name | Tidewater Emergency Medical Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710991153 PECOS PAC ID: 4183538150 Enrollment ID: O20031113000834 |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
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Dr Adam Scott Bloom, DO 554 Keily Street, Jacksonville, FL 32212 Ph: (757) 953-7550 | Dr Adam Scott Bloom, DO 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-2434 |
William Alexander Manning, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. Richard Page Hudson Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Fahc Emergency Department, Burlington, VT 05401 Phone: 802-847-3982 Fax: 802-847-5963 | |
Dr. Daniel John Ackil, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2434 | |
John I Ellis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Mchv Campus - Ed, Burlington, VT 05401 Phone: 802-847-3982 | |
David H Murman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-875-1237 | |
Elizabeth N Malik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000 | |
Dr. David Ward Clauss, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Fahc Emergency Department, Burlington, VT 05401 Phone: 802-847-3982 Fax: 802-847-5963 |