Mr Dennis Blom, MD in Utica, NY

Mr Dennis Blom, MD is a medicare enrolled "Surgery" physician in Utica, New York. His current practice location is 2202 Genesee St, Utica, New York. You can reach out to his office (for appointments etc.) via phone at (315) 732-0349.

Mr Dennis Blom is licensed to practice in New York (license number 196361) 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 1376501940.

Contact Information

	Mr Dennis Blom, MD
	2202 Genesee St, Utica, NY 13502
	(315) 732-0349
	(315) 732-0309

Map and Direction

Physician's Profile

Full Name	Mr Dennis Blom
Gender	Male
Speciality	Surgery
Location	2202 Genesee St, Utica, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376501940
Provider Enumeration Date: 05/03/2006
Last Update Date: 09/11/2018

Medicare PECOS Information:

PECOS PAC ID: 8628002516
Enrollment ID: I20090427000131

Medical Identifiers

Medical identifiers for Mr Dennis Blom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376501940	NPI	-	NPPES
03107559	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	1060363A (Indiana)	Secondary
208600000X	Surgery	196361 (New York)	Primary

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. Mr Dennis Blom allows following entities to bill medicare on his behalf.

Entity Name	Vohra Wound Physicians Of Ny Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447527320 PECOS PAC ID: 0446410435 Enrollment ID: O20120404000465

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. Mr Dennis Blom 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
Mr Dennis Blom, MD 2202 Genesee St, Utica, NY 13502 Ph: (315) 732-0349	Mr Dennis Blom, MD 2202 Genesee St, Utica, NY 13502 Ph: (315) 732-0349

Reviews and Comments

Surgery Doctors in Utica, NY

Dr. John F Sperling, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, P.o.b., Suite 335, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095
Dr. Mario Carrillo, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, 4th Floor, Utica, NY 13502 Phone: 315-624-4690 Fax: 315-624-4840
Dr. Christopher C Max, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, Faxton 4th Floor, Utica, NY 13502 Phone: 315-624-8110 Fax: 315-624-8115
Dr. Jorge Ferreiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095
Geoffrey Simon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Suite 203, Utica, NY 13502 Phone: 315-738-0647 Fax: 315-738-9719
Robert Wasiczko, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095

Mr Dennis Blom, MD - Medicare Surgery in Utica, NY