Kelsey L Bloom, LCSW in Saint Johns, FL - Medicare Social Worker Provider

Kelsey L Bloom, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Johns, Florida. Her current practice location is 30 Ardisia Ln, Saint Johns, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 376-3800.

Kelsey L Bloom is licensed to practice in Florida (license number SW20216) 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 1730892365.

Contact Information

	Kelsey L Bloom, LCSW
	30 Ardisia Ln, Saint Johns, FL 32259-3881
	(904) 376-3800
	(904) 390-7458

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey L Bloom
Gender	Female
Speciality	Social Worker - Clinical
Location	30 Ardisia Ln, Saint Johns, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730892365
Provider Enumeration Date: 12/28/2022
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5799155792
Enrollment ID: I20230109002373

Medical Identifiers

Medical identifiers for Kelsey L Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730892365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW20216 (Florida)	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. Kelsey L Bloom allows following entities to bill medicare on her behalf.

Entity Name	Baptist Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215906649 PECOS PAC ID: 7315166394 Enrollment ID: O20140924001767

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. Kelsey L 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
Kelsey L Bloom, LCSW Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800	Kelsey L Bloom, LCSW 30 Ardisia Ln, Saint Johns, FL 32259-3881 Ph: (904) 376-3800

Reviews and Comments

Social Worker in Saint Johns, FL

Debbie Carroll-rebhan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1020 W Dorchester Dr, Saint Johns, FL 32259 Phone: 904-614-1356
Mrs. Kelly Connolly Wayland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Clifton Bay Loop, Saint Johns, FL 32259 Phone: 610-952-6801
Anna Tonsing, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 777 S Lilac Loop, Saint Johns, FL 32259 Phone: 904-319-5583
Jennifer Stephenson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4428 N Pennycress Pl, Saint Johns, FL 32259 Phone: 401-744-3893
Alicia Kiernan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 760 Roberts Rd, Saint Johns, FL 32259 Phone: 904-386-6465
Mr. Douglas Mark Shine, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1705 Duck Water Ct, Saint Johns, FL 32259 Phone: 904-287-3122 Fax: 904-287-3122

Kelsey L Bloom, LCSW - Medicare Clinical Social Worker in Saint Johns, FL