Haley Berryman Bloom, APRN - Medicare Nurse Practitioner in Stanton, KY

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Haley Berryman Bloom, APRN is a medicare enrolled "Nurse Practitioner - Family" in Stanton, Kentucky. Her current practice location is 321c E College Ave, Stanton, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 663-9797.

Haley Berryman Bloom is licensed to practice in Kentucky (license number 3017926) 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 1629708052.

Contact Information

Haley Berryman Bloom, APRN
321c E College Ave,
Stanton, KY 40380-2325
(606) 663-9797
(606) 663-9470

Map and Direction




Provider's Profile

Full NameHaley Berryman Bloom
GenderFemale
SpecialityNurse Practitioner - Family
Location321c E College Ave, Stanton, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629708052
  • Provider Enumeration Date: 06/17/2022
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0749665099
  • Enrollment ID: I20220922001260

Medical Identifiers

Medical identifiers for Haley Berryman Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629708052NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3017926 (Kentucky)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. Haley Berryman Bloom allows following entities to bill medicare on her behalf.
Entity NameAaron K. Jonan Memorial Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477569226
PECOS PAC ID: 5294632196
Enrollment ID: O20031218000126
Entity NameSalyersville Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215984711
PECOS PAC ID: 4385539501
Enrollment ID: O20040217000889
Entity NamePediatric Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013954510
PECOS PAC ID: 9436147048
Enrollment ID: O20050211000269

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. Haley Berryman 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
Haley Berryman Bloom, APRN
321c E College Ave,
Stanton, KY 40380-2325

Ph: (606) 663-9797		Haley Berryman Bloom, APRN
321c E College Ave,
Stanton, KY 40380-2325

Ph: (606) 663-9797

Reviews and Comments


Nurse Practitioner Nurses in Stanton, KY

Tina A. Smith, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 638 E College Ave Ste B, Stanton, KY 40380
Phone: 606-318-3500    Fax: 606-318-3503
Mrs. Sarah Crabtree, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 68 E Elkins St, Stanton, KY 40380
Phone: 606-663-2511    Fax: 606-663-0711
Hannah E Patrick, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 68 E Elkins St, Stanton, KY 40380
Phone: 606-663-2511    Fax: 859-498-8160
Dr. Herbert A. Couch, DNP, APRN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 638 E College Ave, Suite B, Stanton, KY 40380
Phone: 606-318-3500    Fax: 606-318-3503
Georgette Greene, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 N Main St, Stanton, KY 40380
Phone: 606-775-0515    Fax: 606-552-0694
Stacey Gaunce, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 956 Lower Hatcher Creek Rd, Stanton, KY 40380
Phone: 606-584-2783    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.