Bloom Physician Housecalls Pa in San Antonio, TX

Bloom Physician Housecalls Pa is a medicare enrolled primary clinic (Family Medicine) in San Antonio, Texas. The current practice location for Bloom Physician Housecalls Pa is 8000 W Ih 10 Ste 240, San Antonio, Texas. For appointments, you can reach them via phone at (303) 993-1330. The mailing address for Bloom Physician Housecalls Pa is 12600 W Colfax Ave Ste B200, Lakewood, Colorado and phone number is (720) 923-1250.

Bloom Physician Housecalls Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770322299. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (303) 993-1330.

Contact Information

	Bloom Physician Housecalls Pa
	8000 W Ih 10 Ste 240 San Antonio TX 78230-3868
	(303) 993-1330
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Bloom Physician Housecalls Pa
Speciality	Family Medicine
Location	8000 W Ih 10 Ste 240, San Antonio, Texas
Authorized Official Name and Position	Debra Moon Wadelton (AUTHORIZED OFFICIAL)
Authorized Official Contact	7209231250
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bloom Physician Housecalls Pa 12600 W Colfax Ave Ste B200 Lakewood CO 80215-3736 Ph: (720) 923-1250	Bloom Physician Housecalls Pa 8000 W Ih 10 Ste 240 San Antonio TX 78230-3868 Ph: (303) 993-1330

NPI Details:

NPI Number	1770322299
Provider Enumeration Date	05/23/2024
Last Update Date	01/07/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	9032653563
Medicare Enrollment ID	O20240626000480

Medical Identifiers

Medical identifiers for Bloom Physician Housecalls Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770322299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bloom Physician Housecalls Pa acts as a billing entity for following providers:

Provider Name	Danielle Lee Walz
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1386844587 PECOS PAC ID: 0345414603 Enrollment ID: I20111122000818

Provider Name	Javier Montelongo
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1962089664 PECOS PAC ID: 9638357635 Enrollment ID: I20211209002729

Provider Name	Danielle Ann Whitacre
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1134316540 PECOS PAC ID: 7517003601 Enrollment ID: I20240626000577

Provider Name	Katie Direen Reeves
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1164188306 PECOS PAC ID: 2769873454 Enrollment ID: I20240729002203

Reviews and Comments

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Bloom Physician Housecalls Pa - Medicare Primary Care in San Antonio, TX