Victoria Bloom, LICENSED PSY#30561 - Medicare Psychologist in San Rafael, CA

Victoria Bloom, LICENSED PSY#30561 is a medicare enrolled "Psychologist - Clinical" provider in San Rafael, California. Her current practice location is 2500 Deer Valley Rd Apt 117, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 250-9216.

Victoria Bloom is licensed to practice in California (license number 30561) 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 1245634732.

Contact Information

Victoria Bloom, LICENSED PSY#30561
2500 Deer Valley Rd Apt 117,
San Rafael, CA 94903-1926
(415) 250-9216
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameVictoria Bloom
GenderFemale
SpecialityPsychologist - Clinical
Location2500 Deer Valley Rd Apt 117, San Rafael, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245634732
  • Provider Enumeration Date: 10/13/2014
  • Last Update Date: 03/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648635698
  • Enrollment ID: I20230427000904

Medical Identifiers

Medical identifiers for Victoria Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245634732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 30561 (California)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. Victoria 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
Victoria Bloom, LICENSED PSY#30561
2500 Deer Valley Rd Apt 117,
San Rafael, CA 94903-1926

Ph: (415) 250-9216
Victoria Bloom, LICENSED PSY#30561
2500 Deer Valley Rd Apt 117,
San Rafael, CA 94903-1926

Ph: (415) 250-9216

Reviews and Comments


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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.

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