Dr Jonathan A Bloom, DDS - Medicare Dentist in South Burlington, VT

Dr Jonathan A Bloom, DDS is a medicare enrolled "Dentist - General Practice" provider in South Burlington, Vermont. His current practice location is 118 Tilley Dr Ste 101, South Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 863-3950.

Dr Jonathan A Bloom is licensed to practice in Vermont (license number 2268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093884462.

Contact Information

Dr Jonathan A Bloom, DDS
118 Tilley Dr Ste 101,
South Burlington, VT 05403-4450
(802) 863-3950
(802) 863-3601

Map and Direction




Healthcare Provider's Profile

Full NameDr Jonathan A Bloom
GenderMale
SpecialityDentist - General Practice
Location118 Tilley Dr Ste 101, South Burlington, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093884462
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 05/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8123343134
  • Enrollment ID: I20150216001314

Medical Identifiers

Medical identifiers for Dr Jonathan A Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093884462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2268 (Vermont)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 Jonathan A 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
Dr Jonathan A Bloom, DDS
120 Nicklaus Cir,
South Burlington, VT 05403-8015

Ph: (802) 497-0814
Dr Jonathan A Bloom, DDS
118 Tilley Dr Ste 101,
South Burlington, VT 05403-4450

Ph: (802) 863-3950

Reviews and Comments


Dentist in South Burlington, VT

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Phone: 802-264-6909    Fax: 802-862-8942
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Medicare: Not Enrolled in Medicare
Practice Location: 44 Timber Lane, South Burlington, VT 05403
Phone: 802-860-6725    Fax: 802-864-1511

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.