Evan D Bloom, MD in San Francisco, CA - Medicare Emergency Medicine

Evan D Bloom, MD is a medicare enrolled "Emergency Medicine" physician in San Francisco, California. His current practice location is 1001 Potrero Ave, Suite 1e21, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 206-8111.

Evan D Bloom is licensed to practice in Massachusetts (license number 235804) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285894931.

Contact Information

	Evan D Bloom, MD
	1001 Potrero Ave, Suite 1e21, San Francisco, CA 94110-3518
	(415) 206-8111
	Not Available

Map and Direction

Physician's Profile

Full Name	Evan D Bloom
Gender	Male
Speciality	Emergency Medicine
Location	1001 Potrero Ave, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285894931
Provider Enumeration Date: 06/16/2008
Last Update Date: 03/17/2010

Medicare PECOS Information:

PECOS PAC ID: 5395818140
Enrollment ID: I20091217000663

Medical Identifiers

Medical identifiers for Evan D Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285894931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	235804 (Massachusetts)	Primary
207P00000X	Emergency Medicine	A108485 (California)	Secondary

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. Evan D Bloom allows following entities to bill medicare on his behalf.

Entity Name	Pacific Redwood Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033103676 PECOS PAC ID: 5496652703 Enrollment ID: O20031215000997

Entity Name	Acute Medical Providers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942571146 PECOS PAC ID: 1153589874 Enrollment ID: O20120225000135

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. Evan D 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
Evan D Bloom, MD 230 Oak St, Apt 32, San Francisco, CA 94102-5841 Ph: (415) 487-5040	Evan D Bloom, MD 1001 Potrero Ave, Suite 1e21, San Francisco, CA 94110-3518 Ph: (415) 206-8111

Reviews and Comments

Emergency Medicine Doctors in San Francisco, CA

Paul Robinson, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 Arguello Blvd Apt 2, San Francisco, CA 94122 Phone: 415-948-8836
Frederick D Pitts Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 229 7th St, San Francisco, CA 94103 Phone: 415-503-6042 Fax: 415-503-6099
Georgina Lisseth Calderon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 10th Ave, Apt. 1, San Francisco, CA 94122 Phone: 323-514-0964
Carli Renske Reisdorf, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Van Ness Ave, San Francisco, CA 94109 Phone: 415-600-6000
Timothy Bauer Duncan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Buchanan St, San Francisco, CA 94115 Phone: 209-342-2300 Fax: 209-524-4240
Bichhuong M Dinh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Cesar Chavez, San Francisco, CA 94110 Phone: 240-447-1281
Dr. Lauren Elizabeth Chalwell, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1001 Potrero Avenue Department Of Emergency Medicine, San Francisco General Hospital,, San Francisco, CA 94110 Phone: 415-206-5753

Evan D Bloom, MD - Medicare Emergency Medicine in San Francisco, CA