| Dr Joan M Bloom, MD | |
|
30544 Highway 200, Suite 102, Ponderay, ID 83852 | |
| (208) 265-9817 | |
| Not Available |
| Full Name | Dr Joan M Bloom |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 30544 Highway 200, Ponderay, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033229307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | M-8563 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | M8563 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eden Home Health | Sandpoint, ID | Home health agency |
| Bonner Community Hospice | Sandpoint, ID | Hospice |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Boundary Community Hospital | Bonners ferry, ID | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michael R Dibenedetto Md Pllc | 0840385670 | 8 |
| Entity Name | Michael R Dibenedetto Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083809727 PECOS PAC ID: 0840385670 Enrollment ID: O20071009000187 |
| Entity Name | Michael R Dibenedetto Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1083809727 PECOS PAC ID: 0840385670 Enrollment ID: O20210113002323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joan M Bloom, MD 30544 Highway 200, Suite 102, Ponderay, ID 83852 Ph: (208) 265-9817 | Dr Joan M Bloom, MD 30544 Highway 200, Suite 102, Ponderay, ID 83852 Ph: (208) 265-9817 |
Jade Dardine, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-7101 | |
Dr. Thomas G Fletcher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-7101 |