Zachary Blom, MD - Medicare Family Practice in Raleigh, NC

Zachary Blom, MD is a medicare enrolled "Family Medicine" physician in Raleigh, North Carolina. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Legacy Healthcare Services Inc, Unc Physicians Network and his current practice location is 11200 Governor Manly Way Ste 205, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 570-7700.

Zachary Blom is licensed to practice in North Carolina (license number 2021-01267) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376040238.

Contact Information

Zachary Blom, MD
11200 Governor Manly Way Ste 205,
Raleigh, NC 27614-7367
(919) 570-7700
(919) 570-7701

Map and Direction




Physician's Profile

Full NameZachary Blom
GenderMale
SpecialityFamily Practice
Experience6 Years
Location11200 Governor Manly Way Ste 205, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Zachary Blom graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1376040238
  • Provider Enumeration Date: 04/09/2018
  • Last Update Date: 09/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193073286
  • Enrollment ID: I20210721002695

Medical Identifiers

Medical identifiers for Zachary Blom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376040238NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2021-01267 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bayada Nurses, IncRaleigh, NCHome health agency
Unc Home HealthChapel hill, NCHome health agency
Rex HospitalRaleigh, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Unc Physicians Network5496940546719

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. Zachary Blom allows following entities to bill medicare on his behalf.
Entity NameUnc Physicians Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646

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. Zachary Blom 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 AddressPractice Location Address
Zachary Blom, MD
2000 Perimeter Park Dr Ste 200,
Morrisville, NC 27560-8442

Ph: () -
Zachary Blom, MD
11200 Governor Manly Way Ste 205,
Raleigh, NC 27614-7367

Ph: (919) 570-7700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.