Stephen Leonard Bloom, | |
400 E 3rd St, Duluth, MN 55805-1951 | |
(218) 786-8364 | |
Not Available |
Full Name | Stephen Leonard Bloom |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 57 Years |
Location | 400 E 3rd St, Duluth, Minnesota |
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 |
---|---|---|---|
1245269695 | NPI | - | NPPES |
704487900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 20725 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Duluth | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | Essentia Health Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
Mailing Address | Practice Location Address |
---|---|
Stephen Leonard Bloom, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Stephen Leonard Bloom, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Kirsten Ma Indrelie, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 Fax: 504-988-1846 | |
Dr. Andrea R Lays, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Scott William Johnson, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Haley Marie Meyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Aimee Nelson Van Straaten, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 E 1st St, Lower Level, Duluth, MN 55805 Phone: 218-722-5148 | |
Kelly Jo Greenleaf, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-3800 | |
William Gary Turner, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 |