Dr Kenneth Evan Bloom, DPM in Mooresville, NC

Dr Kenneth Evan Bloom, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Mooresville, North Carolina. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Piedmont Healthcare Pa and his current practice location is 137 Professional Park Dr, Suite C, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 662-8336.

Dr Kenneth Evan Bloom is licensed to practice in North Carolina (license number 414) 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 1811983372.

Contact Information

	Dr Kenneth Evan Bloom, DPM
	137 Professional Park Dr, Suite C, Mooresville, NC 28117-6540
	(704) 662-8336
	(704) 662-8525

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Evan Bloom
Gender	Male
Speciality	Podiatry
Experience	29 Years
Location	137 Professional Park Dr, Mooresville, North Carolina
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:

Dr Kenneth Evan Bloom graduated from medical school in 1995

NPI Data:

NPI Number: 1811983372
Provider Enumeration Date: 09/21/2005
Last Update Date: 08/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1355383654
Enrollment ID: I20070619000148

Medical Identifiers

Medical identifiers for Dr Kenneth Evan Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811983372	NPI	-	NPPES
790800H	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	414 (North Carolina)	Primary
213E00000X	Podiatrist	414 (North Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Norman Regional Medical Center	Mooresville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Healthcare Pa	9638070683	219

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 Kenneth Evan Bloom allows following entities to bill medicare on his behalf.

Provider Name	Piedmont Healthcare Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912999897 PECOS PAC ID: 9638070683 Enrollment ID: O20040114000339

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 Kenneth Evan 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 Kenneth Evan Bloom, DPM 137 Professional Park Dr, Suite C, Mooresville, NC 28117-6540 Ph: (704) 662-8336	Dr Kenneth Evan Bloom, DPM 137 Professional Park Dr, Suite C, Mooresville, NC 28117-6540 Ph: (704) 662-8336

Reviews and Comments

Podiatrist in Mooresville, NC

Dr. Joe K Ades, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 143 Joe Knox Avenue, Suite 100, Mooresville, NC 28117 Phone: 704-662-3660 Fax: 704-662-3595
Emily Elizabeth Zulauf, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 206 Joe Knox Ave Ste D, Mooresville, NC 28117 Phone: 704-235-0474 Fax: 704-660-3987
Dr. Francesca Zappasodi, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 143 Joe Knox Ave, Suite 100, Mooresville, NC 28117 Phone: 704-360-1102
Dr. Kurt Ashley Massey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 137 Professional Park Dr, Suite C, Mooresville, NC 28117 Phone: 704-662-8336 Fax: 704-662-8525
Conor Keeley, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 143 Joe Knox Ave Ste 100, Mooresville, NC 28117 Phone: 704-662-3660 Fax: 704-662-3660
Alex Miles Schaeffer, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 143 Joe Knox Ave Ste 100, Mooresville, NC 28117 Phone: 704-662-3660 Fax: 704-662-3595
Advanced Foot & Ankle Center, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 137 Professional Park Dr., Suite C, Mooresville, NC 28117 Phone: 704-662-8336 Fax: 704-662-8525

Dr Kenneth Evan Bloom, DPM - Medicare Podiatrist in Mooresville, NC