Stanley Bloom, MD is a medicare enrolled "Urology" physician in Old Forge, New York. His current practice location is
138 Goodell Rd, Old Forge, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 369-2003.
Stanley Bloom is licensed to practice in New York (license number 099606-1) 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 1003041377.
Physician's Profile
Full Name | Stanley Bloom |
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Gender | Male |
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Speciality | Urology |
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Location | 138 Goodell Rd, Old Forge, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003041377
- Provider Enumeration Date: 05/15/2009
- Last Update Date: 05/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 2062710577
- Enrollment ID: I20160418000967
Medical Identifiers
Medical identifiers for Stanley Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003041377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 099606-1 (New York) | Primary |
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. Stanley 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 |
Stanley Bloom, MD 10760 North Green Dr, Lake Worth, FL 33449 Ph: (561) 432-2020 | Stanley Bloom, MD 138 Goodell Rd, Old Forge, NY 13420 Ph: (315) 369-2003 |
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