Dr Katherine Alexis Bloom, MD is a medicare enrolled "Allergy & Immunology" physician in Fairfield, Connecticut. She went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Allergy And Asthma Care Of Fairfield County Llc and her current practice location is
55 Walls Dr, Suite 405, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 259-7070.
Dr Katherine Alexis Bloom is licensed to practice in Connecticut (license number 047707) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760697635.
Physician's Profile
| Full Name | Dr Katherine Alexis Bloom |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 21 Years |
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| Location | 55 Walls Dr, Fairfield, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Katherine Alexis Bloom attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2003
NPI Data:
- NPI Number: 1760697635
- Provider Enumeration Date: 05/13/2007
- Last Update Date: 12/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 7315091089
- Enrollment ID: I20090814000096
Medical Identifiers
Medical identifiers for Dr Katherine Alexis Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760697635 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 047707 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allergy And Asthma Care Of Fairfield County Llc | 4688579980 | 3 |
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 Katherine Alexis Bloom allows following entities to bill medicare on her behalf.
| Entity Name | Allergy And Asthma Care Of Fairfield County Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710098645
PECOS PAC ID: 4688579980
Enrollment ID: O20031201000267 |
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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 Katherine Alexis 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 |
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Dr Katherine Alexis Bloom, MD
55 Walls Dr, Suite 405,
Fairfield, CT 06824-5163
Ph: (203) 259-7070 | Dr Katherine Alexis Bloom, MD
55 Walls Dr, Suite 405,
Fairfield, CT 06824-5163
Ph: (203) 259-7070 |
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