Nathan Michael Bloom, MD | |
4921 W 18th St, Lawrence, KS 66047-2090 | |
(785) 830-0100 | |
(785) 830-0115 |
Full Name | Nathan Michael Bloom |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 4921 W 18th St, Lawrence, Kansas |
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 |
---|---|---|---|
1164629218 | NPI | - | NPPES |
200672020A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9406871 (Kansas) | Secondary |
207Q00000X | Family Medicine | 0432319 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence Memorial Hospital | Lawrence, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shawnee Mission Medical Center Inc | 9537119037 | 171 |
Entity Name | Shawnee Mission Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
Mailing Address | Practice Location Address |
---|---|
Nathan Michael Bloom, MD 4921 W 18th St, Lawrence, KS 66047-2090 Ph: (785) 830-0100 | Nathan Michael Bloom, MD 4921 W 18th St, Lawrence, KS 66047-2090 Ph: (785) 830-0100 |
Dr. Myra Strother, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 Schwegler Dr, Lawrence, KS 66045 Phone: 785-864-9500 | |
Jennifer L Clair, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1112 W 6th St Ste 101, Lawrence, KS 66044 Phone: 785-505-5888 Fax: 785-505-5306 | |
Stephanie A Suber, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4930 Overland Drive, Lawrence, KS 66049 Phone: 785-856-0708 Fax: 785-856-0709 | |
Emily Nicole Heronemus, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 Phone: 785-843-9125 Fax: 785-505-5312 | |
Dr. Stephanie Chappell Pryor, DNP Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Maine St, Lawrence, KS 66044 Phone: 785-843-9192 | |
Mr. John Listerman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Riverfront Plz, Suite 100, Lawrence, KS 66044 Phone: 785-841-7297 Fax: 785-856-0375 | |
Dr. Chad D Johanning, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4951 W 18th St, Lawrence, KS 66047 Phone: 785-841-6540 Fax: 785-841-3129 |