Dr Paul Mark Bloomston, MD | |
4571 Colonial Blvd, Suite 100, Fort Myers, FL 33966-1156 | |
(239) 333-0995 | |
(844) 615-5267 |
Full Name | Dr Paul Mark Bloomston |
---|---|
Gender | Male |
Speciality | Surgical Oncology |
Experience | 27 Years |
Location | 4571 Colonial Blvd, Fort Myers, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982658225 | NPI | - | NPPES |
385460 | Other | FL | AVMED |
P01547650 | Other | FL | RR MEDICARE |
1191282 | Other | FL | WELLCARE |
QMP000005121963 | Other | FL | MOLINA |
015646100 | Medicaid | FL | |
7073160 | Other | FL | CIGNA |
7438862 | Other | FL | AETNA |
P1032667 | Other | FL | FREEDOM |
151EV | Other | FL | BCBS |
2659814 | Medicaid | OH | |
P971025 | Other | FL | OPTIMUM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 35084271 (Ohio) | Secondary |
2086X0206X | Surgery - Surgical Oncology | ME125024 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trilogy Home Healthcare | Estero, FL | Home health agency |
Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
Lee Memorial Hospital | Fort myers, FL | Hospital |
Cape Coral Hospital | Cape coral, FL | Hospital |
Lehigh Regional Medical Center | Lehigh acres, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Florida Surgical Associates Llc | 4486031630 | 7 |
Genesiscare Usa Of Florida Llc | 9830082882 | 237 |
Entity Name | Genesiscare Usa Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Entity Name | South Florida Surgical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417604018 PECOS PAC ID: 4486031630 Enrollment ID: O20220510000916 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Mark Bloomston, MD 2160 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1410 Ph: (239) 931-7342 | Dr Paul Mark Bloomston, MD 4571 Colonial Blvd, Suite 100, Fort Myers, FL 33966-1156 Ph: (239) 333-0995 |
Dr. Scott B Patterson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 Phone: 239-343-3474 Fax: 239-343-2968 | |
Joseph Froilan Yurich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15730 New Hampshire Ct, Fort Myers, FL 33908 Phone: 239-481-0033 Fax: 321-966-8322 | |
Dr. Rachel A Titus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075 | |
Dr. Kendrick D Mcarthur, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 | |
Lilly Ann Bayouth, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 13685 Doctors Way Ste 100, Fort Myers, FL 33912 Phone: 239-343-1612 Fax: 239-343-4229 | |
Dr. John Anthony Moss, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-936-8555 Fax: 239-936-5611 | |
Peggy C. Kalkounos, DO Surgery Medicare: Medicare Enrolled Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 |