| Dr Kerry L Bloomingdale, MD | |
|
1132 Westfield St, West Springfield, MA 01089-3878 | |
| (800) 378-5454 | |
| Not Available |
| Full Name | Dr Kerry L Bloomingdale |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 48 Years |
| Location | 1132 Westfield St, West Springfield, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326039181 | NPI | - | NPPES |
| 15-00675 | Other | MA | EVERCARE |
| 719405 | Other | MA | TUFTS MEDICARE PREFERRED |
| C04856 | Other | MA | BC/BS OF MASSACHUSETTS |
| C04856 | Other | MA | FEDERAL BC/BS |
| 719405 | Other | MA | TUFTS |
| O167959 | Medicaid | MA | |
| C04856 | Other | MA | BLUE CARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 43793 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1474 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770524373 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000315 |
| Entity Name | Beth Israel Deaconess Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerry L Bloomingdale, MD Po Box 260, Westborough, MA 01581-0260 Ph: (508) 898-8650 | Dr Kerry L Bloomingdale, MD 1132 Westfield St, West Springfield, MA 01089-3878 Ph: (800) 378-5454 |
Dr. James S Thompson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1132 Westfield St, West Springfield, MA 01089 Phone: 800-378-5454 | |
Dr. Emad Helmy Eskander, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 103 Myron St, Suite A, West Springfield, MA 01089 Phone: 413-592-1980 | |
Ricardo A Mujica, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1132 Westfield St, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0096 | |
Dr. Charles Richard Forbes Iii, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 103 Myron St Ste A, West Springfield, MA 01089 Phone: 603-960-9123 | |
Olga Gaftanyuk, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1132 Westfield St, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0096 | |
Dr. Mary E Barkalow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 147 Norman St, West Springfield, MA 01089 Phone: 413-736-8329 Fax: 413-739-8210 |