Ms Tisha Nikki Bloom, CRNA in Milwaukee, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Tisha Nikki Bloom, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Milwaukee, Wisconsin. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Froedtert Memorial Lutheran Hospital, Inc. and her current practice location is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 805-5951.

Ms Tisha Nikki Bloom is licensed to practice in Wisconsin (license number 8602) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538490370.

Contact Information

	Ms Tisha Nikki Bloom, CRNA
	9200 W Wisconsin Ave, Milwaukee, WI 53226-3522
	(414) 805-5951
	(414) 805-4870

Map and Direction

Provider's Profile

Full Name	Ms Tisha Nikki Bloom
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	9200 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Tisha Nikki Bloom graduated from nursing school in 2009

NPI Data:

NPI Number: 1538490370
Provider Enumeration Date: 01/19/2010
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 1658404397
Enrollment ID: I20100803000055

Medical Identifiers

Medical identifiers for Ms Tisha Nikki Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538490370	NPI	-	NPPES
100008858	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	8602 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Froedtert Memorial Lutheran Hospital	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert Memorial Lutheran Hospital, Inc.	1456342682	55

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. Ms Tisha Nikki Bloom allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Froedtert Memorial Lutheran Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255334173 PECOS PAC ID: 1456342682 Enrollment ID: O20040518001180

Entity Name	Anesthesia Partners Services Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861810947 PECOS PAC ID: 4082832514 Enrollment ID: O20140826000757

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194473066 PECOS PAC ID: 8628980943 Enrollment ID: O20220620000485

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. Ms Tisha Nikki 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
Ms Tisha Nikki Bloom, CRNA 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: () -	Ms Tisha Nikki Bloom, CRNA 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-5951

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Milwaukee, WI

Kathleen A Waterhouse-skibicki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-5951 Fax: 414-777-0044
Mary E Rashel, CRNA, APNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000
Kari L Chakrabarti, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-5144
Jessica Lynn Singer, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 N 92nd St, Milwaukee, WI 53226 Phone: 414-805-3000
Mr. Peter Kallio, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000
Mr. Edwin Patt Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Patient Financial Services, Milwaukee, WI 53226 Phone: 414-777-0376 Fax: 414-777-0033
Mrs. Andrea Kay Rossi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522

Ms Tisha Nikki Bloom, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Milwaukee, WI