Dr Henry R Bloom, MD in University Heights, OH

Dr Henry R Bloom, MD - Medicare Family Medicine in University Heights, OH

Dr Henry R Bloom, MD is a medicare enrolled "Family Medicine" physician in University Heights, Ohio. His current practice location is 20620 John Carroll Blvd, Suite 208, University Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 321-9703.

Dr Henry R Bloom is licensed to practice in Ohio (license number 35-039371) 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 1003893025.

Contact Information

	Dr Henry R Bloom, MD
	20620 John Carroll Blvd, Suite 208, University Heights, OH 44118-4540
	(216) 321-9703
	(216) 321-9704

Map and Direction

Physician's Profile

Full Name	Dr Henry R Bloom
Gender	Male
Speciality	Family Medicine
Location	20620 John Carroll Blvd, University Heights, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003893025
Provider Enumeration Date: 12/30/2005
Last Update Date: 07/16/2012

Medicare PECOS Information:

PECOS PAC ID: 0547307621
Enrollment ID: I20091021000740

Medical Identifiers

Medical identifiers for Dr Henry R Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003893025	NPI	-	NPPES
3059621	Medicaid	OH
0394130	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35-039371 (Ohio)	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 Henry R 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
Dr Henry R Bloom, MD 20620 John Carroll Blvd, Suite 208, University Heights, OH 44118-4540 Ph: (216) 321-9703	Dr Henry R Bloom, MD 20620 John Carroll Blvd, Suite 208, University Heights, OH 44118-4540 Ph: (216) 321-9703