Dr Jacob Maxwell-phillip Bloom, MD in Chicago, IL - Medicare Plastic And Reconstructive Surgery

Dr Jacob Maxwell-phillip Bloom, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Chicago, Illinois. He graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Bloom Plastic Surgery Sc and his current practice location is 1 E Delaware Pl Ste 501, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 549-8691.

Dr Jacob Maxwell-phillip Bloom is licensed to practice in Illinois (license number 036134552) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770757130.

Contact Information

	Dr Jacob Maxwell-phillip Bloom, MD
	1 E Delaware Pl Ste 501, Chicago, IL 60611-1666
	(312) 549-8691
	(312) 549-8692

Map and Direction

Physician's Profile

Full Name	Dr Jacob Maxwell-phillip Bloom
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	18 Years
Location	1 E Delaware Pl Ste 501, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob Maxwell-phillip Bloom graduated from medical school in 2008

NPI Data:

NPI Number: 1770757130
Provider Enumeration Date: 04/16/2008
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9739304981
Enrollment ID: I20140702001968

Medical Identifiers

Medical identifiers for Dr Jacob Maxwell-phillip Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770757130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2082S0105X	Plastic Surgery - Surgery Of The Hand	036134552 (Illinois)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	036134552 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bloom Plastic Surgery Sc	3870836208	2

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. Dr Jacob Maxwell-phillip Bloom allows following entities to bill medicare on his behalf.

Entity Name	Bloom Plastic Surgery Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457805244 PECOS PAC ID: 3870836208 Enrollment ID: O20190528001090

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 Jacob Maxwell-phillip 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 Jacob Maxwell-phillip Bloom, MD 1 E Delaware Pl Ste 501, Chicago, IL 60611-1666 Ph: (312) 535-3721	Dr Jacob Maxwell-phillip Bloom, MD 1 E Delaware Pl Ste 501, Chicago, IL 60611-1666 Ph: (312) 549-8691

Reviews and Comments

Surgery Doctors in Chicago, IL

Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797
Anngell Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2653 W Ogden Ave Fl 3, Chicago, IL 60608 Phone: 773-257-6701 Fax: 773-257-6226
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714
Jateen C Patel, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 8201 East Riverside Blvd, Chicago, IL 60673 Phone: 815-971-7000

Dr Jacob Maxwell-phillip Bloom, MD - Medicare Plastic And Reconstructive Surgery in Chicago, IL