Dr Joan M Bloom, MD | |
30544 Highway 200, Suite 102, Ponderay, ID 83852 | |
(208) 265-9817 | |
Not Available |
Full Name | Dr Joan M Bloom |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 39 Years |
Location | 30544 Highway 200, Ponderay, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033229307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | M-8563 (Idaho) | Secondary |
207Q00000X | Family Medicine | M8563 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eden Home Health | Sandpoint, ID | Home health agency |
Bonner Community Hospice | Sandpoint, ID | Hospice |
Bonner General Hospital | Sandpoint, ID | Hospital |
Boundary Community Hospital | Bonners ferry, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michael R Dibenedetto Md Pllc | 0840385670 | 7 |
Entity Name | Michael R Dibenedetto Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083809727 PECOS PAC ID: 0840385670 Enrollment ID: O20071009000187 |
Entity Name | Michael R Dibenedetto Md Pllc |
---|---|
Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
Entity Identifiers | NPI Number: 1083809727 PECOS PAC ID: 0840385670 Enrollment ID: O20210113002323 |
Mailing Address | Practice Location Address |
---|---|
Dr Joan M Bloom, MD 30544 Highway 200, Suite 102, Ponderay, ID 83852 Ph: (208) 265-9817 | Dr Joan M Bloom, MD 30544 Highway 200, Suite 102, Ponderay, ID 83852 Ph: (208) 265-9817 |
Jade Dardine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-7101 | |
Dr. Thomas G Fletcher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-7101 |