Tammy Bloom, FNP - Medicare Nurse Practitioner in Bayside, NY

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Tammy Bloom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bayside, New York. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St John's Medical Services Pc and her current practice location is 4564 Francis Lewis Blvd Ste 202, Bayside, New York. You can reach out to her office (for appointments etc.) via phone at (631) 751-3000.

Tammy Bloom is licensed to practice in New York (license number F339372) 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 1740672229.

Contact Information

Tammy Bloom, FNP
4564 Francis Lewis Blvd Ste 202,
Bayside, NY 11361-3085
(631) 751-3000
(631) 751-0506

Map and Direction




Provider's Profile

Full NameTammy Bloom
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location4564 Francis Lewis Blvd Ste 202, Bayside, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tammy Bloom graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1740672229
  • Provider Enumeration Date: 02/20/2015
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2365747037
  • Enrollment ID: I20160218001371

Medical Identifiers

Medical identifiers for Tammy Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740672229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F339372 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St John's Episcopal Hospital At South ShoreFar rockaway, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St John's Medical Services Pc185031486587

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. Tammy Bloom allows following entities to bill medicare on her behalf.
Entity NameNorth Shore Hematology Oncology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794574
PECOS PAC ID: 1456243641
Enrollment ID: O20040324001766
Entity NameRoberta A Bianco Do Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609032887
PECOS PAC ID: 0244120715
Enrollment ID: O20040413001135
Entity NameSt John's Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023042173
PECOS PAC ID: 1850314865
Enrollment ID: O20060105000203
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026
Entity NameWinthrop Community Medical Affiliates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457873077
PECOS PAC ID: 5698092385
Enrollment ID: O20150317001669

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. Tammy 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 AddressPractice Location Address
Tammy Bloom, FNP
1500 Route 112 Bldg 4,
Port Jefferson Station, NY 11776-8055

Ph: (631) 574-8354		Tammy Bloom, FNP
4564 Francis Lewis Blvd Ste 202,
Bayside, NY 11361-3085

Ph: (631) 751-3000

Reviews and Comments


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Vadim Pinkhasov, NP
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Practice Location: 4232 Francis Lewis Blvd, Bayside, NY 11361
Phone: 718-750-1665    Fax: 718-691-4916

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.