Randy Bloom, FNP-BC in Rancho Mirage, CA - Medicare Nurse Practitioner

Randy Bloom, FNP-BC is a medicare enrolled "Nurse Practitioner" in Rancho Mirage, California. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Eisenhower Medical Center and his current practice location is 39000 Bob Hope Dr, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at (760) 773-2882.

Randy Bloom is licensed to practice in California (license number 95012312) 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 1265086854.

Contact Information

	Randy Bloom, FNP-BC
	39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221
	(760) 773-2882
	(760) 773-2680

Map and Direction

Provider's Profile

Full Name	Randy Bloom
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	39000 Bob Hope Dr, Rancho Mirage, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randy Bloom graduated from nursing school in 2019

NPI Data:

NPI Number: 1265086854
Provider Enumeration Date: 07/31/2019
Last Update Date: 01/23/2020

Medicare PECOS Information:

PECOS PAC ID: 9032545975
Enrollment ID: I20200212001796

Medical Identifiers

Medical identifiers for Randy Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265086854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95012312 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eisenhower Medical Center	Rancho mirage, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eisenhower Medical Center	5890689657	370

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. Randy Bloom allows following entities to bill medicare on his behalf.

Entity Name	Eisenhower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102

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. Randy 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
Randy Bloom, FNP-BC 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 773-2882	Randy Bloom, FNP-BC 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 Ph: (760) 773-2882

Reviews and Comments

Nurse Practitioner Nurses in Rancho Mirage, CA

Ervin Xhufka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8542 Fax: 760-837-8543
Ms. Rosie Knauf, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911
Cynthia Jovanov, RN, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-773-1885
Richard Pessagno, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8767 Fax: 760-837-8806
Maria Florina Aleth D Mangosing Ignacio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, Rancho Mirage, CA 92270 Phone: 760-837-8535
Dr. Leesa Simanton Booth, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Calle De Las Rosas, Rancho Mirage, CA 92270 Phone: 760-578-3601
April Marie Lopez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-346-7655 Fax: 760-346-3037

Randy Bloom, FNP-BC - Medicare Nurse Practitioner in Rancho Mirage, CA