Dr Susan Jone Bloom, PSY D, APNP in Milwaukee, WI

Dr Susan Jone Bloom, PSY D, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Milwaukee, Wisconsin. Her current practice location is 731 N Jackson St, Ste 510, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (847) 372-9612.

Dr Susan Jone Bloom is licensed to practice in Wisconsin (license number 5697) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396989141.

Contact Information

	Dr Susan Jone Bloom, PSY D, APNP
	731 N Jackson St, Ste 510, Milwaukee, WI 53202-4697
	(847) 372-9612
	(888) 266-8068

Map and Direction

Provider's Profile

Full Name	Dr Susan Jone Bloom
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	731 N Jackson St, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396989141
Provider Enumeration Date: 04/23/2009
Last Update Date: 04/16/2018

Medicare PECOS Information:

PECOS PAC ID: 0547311375
Enrollment ID: I20140421000294

Medical Identifiers

Medical identifiers for Dr Susan Jone Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396989141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041-205215 (Illinois)	Secondary
364SP0809X	Clinical Nurse Specialist - Psychiatric/mental Health, Adult	209-006444 (Illinois)	Secondary
363L00000X	Nurse Practitioner	5697 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5697 (Wisconsin)	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. Dr Susan Jone Bloom allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Psychiatric Consultants & Therapists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700818119 PECOS PAC ID: 5092740985 Enrollment ID: O20050929000204

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. Dr Susan Jone 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
Dr Susan Jone Bloom, PSY D, APNP 731 N Jackson St, Ste 510, Milwaukee, WI 53202-4697 Ph: (847) 372-9612	Dr Susan Jone Bloom, PSY D, APNP 731 N Jackson St, Ste 510, Milwaukee, WI 53202-4697 Ph: (847) 372-9612

Reviews and Comments

Nurse Practitioner Nurses in Milwaukee, WI

Ms. Leslie L. Talbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, WI 53226 Phone: 414-266-3360 Fax: 414-266-3563
Andrienne M Delaney, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10701 W Research Dr, Milwaukee, WI 53226 Phone: 262-366-2903 Fax: 888-288-4890
Mrs. Karen Elizabeth Mcnerney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 N Rivercenter Dr Ste 206, Milwaukee, WI 53212 Phone: 414-231-1180 Fax: 414-272-5617
Mrs. Anne E B Lakatos, APN-BC, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Internal Medicine, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6851
Mrs. Amanda M Manders, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6864
Tracy L Kersten, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-4600 Fax: 414-805-6808
Ms. Michelle Seavers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000

Dr Susan Jone Bloom, PSY D, APNP - Medicare Nurse Practitioner in Milwaukee, WI