Steven L Bloom, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Dallas, Texas. His current practice location is
5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 645-0624.
Steven L Bloom is licensed to practice in Texas (license number H9806) 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 1508823071.
Physician's Profile
| Full Name | Steven L Bloom |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 5323 Harry Hines Blvd, Dallas, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508823071
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698864460
- Enrollment ID: I20071130000469
Medical Identifiers
Medical identifiers for Steven L Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508823071 | NPI | - | NPPES |
| 138872012 | Medicaid | TX | |
| 138872011 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | H9806 (Texas) | Primary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | H9806 (Texas) | 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. Steven L Bloom allows following entities to bill medicare on his behalf.
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792 |
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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. Steven L 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 |
|---|
Steven L Bloom, MD
Po Box 845347,
Dallas, TX 75284-5347
Ph: (214) 645-0624 | Steven L Bloom, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7208
Ph: (214) 645-0624 |
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