Dr Barry Theil Bloom, MD - Medicare Pediatrics in Wichita, KS

Dr Barry Theil Bloom, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Wichita, Kansas. His current practice location is 550 N Hillside St, Wesley Department Of Neonatology, Wichita, Kansas. You can reach out to his office (for appointments etc.) via phone at (316) 259-0810.

Dr Barry Theil Bloom is licensed to practice in Kansas (license number K19765) 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 1043274566.

Contact Information

Dr Barry Theil Bloom, MD
550 N Hillside St, Wesley Department Of Neonatology,
Wichita, KS 67214-4910
(316) 259-0810
Not Available

Map and Direction




Physician's Profile

Full NameDr Barry Theil Bloom
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location550 N Hillside St, Wichita, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043274566
  • Provider Enumeration Date: 04/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385716927
  • Enrollment ID: I20150518000840

Medical Identifiers

Medical identifiers for Dr Barry Theil Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043274566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine K19765 (Kansas)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 Barry Theil 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 Barry Theil Bloom, MD
550 N Hillside St, Wesley Department Of Neonatology,
Wichita, KS 67214-4910

Ph: (316) 259-0810
Dr Barry Theil Bloom, MD
550 N Hillside St, Wesley Department Of Neonatology,
Wichita, KS 67214-4910

Ph: (316) 259-0810

Reviews and Comments


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