Mr Michael Scott Bloom, MD | |
1020 Woodman Dr Ste 105, Dayton, OH 45432-1446 | |
(937) 723-7772 | |
(937) 226-9605 |
Full Name | Mr Michael Scott Bloom |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 33 Years |
Location | 1020 Woodman Dr Ste 105, Dayton, Ohio |
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 |
---|---|---|---|
1639128689 | NPI | - | NPPES |
9111115 | Medicaid | OH | |
2099223 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 207W00000X (Ohio) | Secondary |
207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 35066075B (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Miami Valley Hospital | Dayton, OH | Hospital |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Whitewater Eye Centers Llc | 6608914072 | 14 |
Bloom Family Eye Surgeons Ltd | 9335108554 | 6 |
Entity Name | Whitewater Eye Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962635052 PECOS PAC ID: 6608914072 Enrollment ID: O20091105000461 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Scott Bloom, MD 1020 Woodman Dr Ste 105, Dayton, OH 45432-1446 Ph: (937) 723-7772 | Mr Michael Scott Bloom, MD 1020 Woodman Dr Ste 105, Dayton, OH 45432-1446 Ph: (937) 723-7772 |
Dr. Jacqueline Marie Erdahl, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 1020 Woodman Dr Ste 105, Dayton, OH 45432 Phone: 937-723-7772 Fax: 937-226-9605 | |
Peter Constantine Koumas, DO Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409 Phone: 937-222-3937 Fax: 937-223-5416 | |
Edward Robert Thomas Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409 Phone: 937-222-3937 Fax: 937-223-5416 | |
John C Kunesh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2601 Far Hills Ave, Dayton, OH 45419 Phone: 937-298-1703 Fax: 937-298-6344 | |
Dr. Scott Michael Pfahler, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 301 W 1st St, Suite 300, Dayton, OH 45402 Phone: 937-228-5015 Fax: 937-228-5971 | |
Dr. Marshall Claude Wareham, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5250 Far Hills Ave, Suite 207, Dayton, OH 45429 Phone: 937-433-2300 Fax: 937-433-0210 | |
Dr. William Joseph Kessler, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2600 Far Hills Ave, Ste 15, Dayton, OH 45419 Phone: 937-294-1159 Fax: 937-294-8836 |