Paula Nicole Bloom, PSYD in Mcdonough, GA - Medicare Psychologist Provider

Paula Nicole Bloom, PSYD is a medicare enrolled "Psychologist" provider in Mcdonough, Georgia. Her current practice location is 1125 Town Center Village Dr, Kaiser Permanente Henry Towne Centre Medical Center, Mcdonough, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 496-3414.

Paula Nicole Bloom is licensed to practice in Georgia (license number PSY002777) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689897746.

Contact Information

	Paula Nicole Bloom, PSYD
	1125 Town Center Village Dr, Kaiser Permanente Henry Towne Centre Medical Center, Mcdonough, GA 30253-5970
	(770) 496-3414
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Paula Nicole Bloom
Gender	Female
Speciality	Psychologist
Location	1125 Town Center Village Dr, Mcdonough, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689897746
Provider Enumeration Date: 04/10/2007
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 2365548153
Enrollment ID: I20070511000350

Medical Identifiers

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

Identifier	Type	State	Issuer
1689897746	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY002777 (Georgia)	Primary

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. Paula Nicole Bloom allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Paula Nicole 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
Paula Nicole Bloom, PSYD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Paula Nicole Bloom, PSYD 1125 Town Center Village Dr, Kaiser Permanente Henry Towne Centre Medical Center, Mcdonough, GA 30253-5970 Ph: (770) 496-3414

Reviews and Comments

Psychologist in Mcdonough, GA

Esther Nakanwagi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Jonesboro St, Mcdonough, GA 30253 Phone: 678-782-7718
Dr. Goodman Frederick Brennan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1601 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-583-4975
Dr. Greg Donald Clanton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 W Campground Rd, Mcdonough, GA 30253 Phone: 770-898-2966
Karol Short, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Sable Chase Blvd, Mcdonough, GA 30253 Phone: 706-975-6057
Lauren Evelyn Reba-harrelson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 507 Harper Rd, Mcdonough, GA 30252 Phone: 919-923-2119
Primruth Marshall, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Jonesboro St, Mcdonough, GA 30253 Phone: 678-782-7718

Paula Nicole Bloom, PSYD - Medicare Psychologist in Mcdonough, GA