Dr Chandra Nicole Keebler Bloom, MD in Vallejo, CA

Dr Chandra Nicole Keebler Bloom, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Vallejo, California. She went to University Of California, San Diego School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 438-5077.

Dr Chandra Nicole Keebler Bloom is licensed to practice in California (license number A131366) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497018238.

Contact Information

	Dr Chandra Nicole Keebler Bloom, MD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 438-5077
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Chandra Nicole Keebler Bloom
Gender	Female
Speciality	Geriatric Medicine
Experience	12 Years
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Chandra Nicole Keebler Bloom attended and graduated from University Of California, San Diego School Of Medicine in 2012

NPI Data:

NPI Number: 1497018238
Provider Enumeration Date: 06/18/2012
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 1153680301
Enrollment ID: I20180115000504

Medical Identifiers

Medical identifiers for Dr Chandra Nicole Keebler Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497018238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	A131366 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Chandra Nicole Keebler Bloom allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Chandra Nicole Keebler 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
Dr Chandra Nicole Keebler Bloom, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 438-5077	Dr Chandra Nicole Keebler Bloom, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 438-5077

Reviews and Comments

Internal Medicine Doctors in Vallejo, CA

Dr. Joseph Ignatius Azalde, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1617 Broadway St, Vallejo, CA 94590 Phone: 707-556-3708 Fax: 707-556-3755
Jeffrey T. Wei, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Lauran H. Mizock, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Scarlet Ophelia Mcclure, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2729
Dr. Chainarong Limvarapuss, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Suite # 110, Vallejo, CA 94589 Phone: 707-551-3300 Fax: 707-551-3301
Misa Stroker, M.D., PHARM.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Hospital Dr, Vallejo, CA 94589 Phone: 707-554-4444
Bruce C. Clark, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Dr Chandra Nicole Keebler Bloom, MD - Medicare Geriatric Medicine in Vallejo, CA