Dr Mitchell Edward Blum, MD is a medicare enrolled "Otolaryngology" physician in Tracy, California. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1770586448
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 04/30/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
|---|
| 207Y00000X | Otolaryngology | G25010 (California) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | G25010 (California) | Secondary |
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 |
|---|
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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