Dr Mitchell Edward Blum, MD is a medicare enrolled "Otolaryngology" physician in Tracy, California. He went to Hahnemann University College Of Medicine and graduated in 1968 and has 56 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Dignity Health Medical Foundation and his current practice location is
2160 W. Grantline Rd, Suite 250, Tracy, California. You can reach out to his office (for appointments etc.) via phone at
(209) 834-0626.
Dr Mitchell Edward Blum is licensed to practice in California (license number G25010) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770586448.
Physician's Profile
| Full Name | Dr Mitchell Edward Blum |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 56 Years |
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| Location | 2160 W. Grantline Rd, Tracy, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mitchell Edward Blum attended and graduated from Hahnemann University College Of Medicine in 1968
NPI Data:
- NPI Number: 1770586448
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 04/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 8527064229
- Enrollment ID: I20061019000234
Medical Identifiers
Medical identifiers for Dr Mitchell Edward Blum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770586448 | NPI | - | NPPES |
| 00G250100 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | G25010 (California) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | G25010 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dignity Health Medical Foundation | 7810800661 | 1199 |
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 Mitchell Edward Blum allows following entities to bill medicare on his behalf.
| Entity Name | Dignity Health Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700803418
PECOS PAC ID: 7810800661
Enrollment ID: O20031107000709 |
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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. Dr Mitchell Edward Blum 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 |
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Dr Mitchell Edward Blum, MD
15 Oval Rd,
Oakland, CA 94611
Ph: (209) 834-0626 | Dr Mitchell Edward Blum, MD
2160 W. Grantline Rd, Suite 250,
Tracy, CA 95377
Ph: (209) 834-0626 |
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