Dr Susan Dorothy Blom, PHD in Mora, MN - Medicare Clinical Psychologist Provider

Dr Susan Dorothy Blom, PHD is a medicare enrolled "Psychologist" provider in Mora, Minnesota. She graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 905 Forest Ave E, Suite 150, Mora, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 679-6346.

Dr Susan Dorothy Blom is licensed to practice in Minnesota (license number LP1194) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1700957842.

Contact Information

	Dr Susan Dorothy Blom, PHD
	905 Forest Ave E, Suite 150, Mora, MN 55051-1624
	(320) 679-6346
	(320) 679-6351

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan Dorothy Blom
Gender	Female
Speciality	Clinical Psychologist
Experience	42 Years
Location	905 Forest Ave E, Mora, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Susan Dorothy Blom graduated from medical school in 1982

NPI Data:

NPI Number: 1700957842
Provider Enumeration Date: 11/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1850339003
Enrollment ID: I20050419001153

Medical Identifiers

Medical identifiers for Dr Susan Dorothy Blom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700957842	NPI	-	NPPES
52096BL	Other	MN	BLUE CROSS BLUE SHIELD
61-21928	Other	MN	MEDICA
72233-1010048	Other	MN	PREFERRED ONE
114047	Other	MN	U CARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP1194 (Minnesota)	Primary

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 Susan Dorothy Blom 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 Susan Dorothy Blom, PHD 825 Ashland St S, Cambridge, MN 55008-2110 Ph: (763) 689-5250	Dr Susan Dorothy Blom, PHD 905 Forest Ave E, Suite 150, Mora, MN 55051-1624 Ph: (320) 679-6346

Reviews and Comments

Psychologist in Mora, MN

Dr. Harlan James Gilbertson, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 630 Union St S, Mora, MN 55051 Phone: 320-679-8161 Fax: 320-679-5258
Linda Marie Walinski, LP LICENSED PSYCHOLO Psychologist Medicare: Not Enrolled in Medicare Practice Location: 905 Forest Ave E, Ste 150, Mora, MN 55051 Phone: 320-679-6350 Fax: 320-679-6351
Dr. Samantha Marie Sheeran, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2031 Rowland Rd, Mora, MN 55051 Phone: 844-314-4673

Dr Susan Dorothy Blom, PHD - Medicare Psychologist in Mora, MN