| Dr Paul Mark Bloomston, MD | |
|
8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | |
| (239) 343-7400 | |
| (239) 468-7942 |
| Full Name | Dr Paul Mark Bloomston |
|---|---|
| Gender | Male |
| Speciality | Surgical Oncology |
| Experience | 29 Years |
| Location | 8925 Colonial Center Dr Ste 1000, Fort Myers, Florida |
| 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 |
|---|---|---|---|
| 1982658225 | NPI | - | NPPES |
| 7438862 | Other | FL | AETNA |
| QMP000005121963 | Other | FL | MOLINA |
| P971025 | Other | FL | OPTIMUM |
| 7073160 | Other | FL | CIGNA |
| 151EV | Other | FL | BCBS |
| 015646100 | Medicaid | FL | |
| 1191282 | Other | FL | WELLCARE |
| 385460 | Other | FL | AVMED |
| P01547650 | Other | FL | RR MEDICARE |
| P1032667 | Other | FL | FREEDOM |
| 2659814 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | ME125024 (Florida) | Primary |
| 2086X0206X | Surgery - Surgical Oncology | 35084271 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Estero, FL | Home health agency |
| Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Florida Surgical Associates Llc | 4486031630 | 3 |
| Lee Health System Inc | 9335672146 | 1153 |
| Entity Name | Genesiscare Usa Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
| Entity Name | South Florida Surgical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417604018 PECOS PAC ID: 4486031630 Enrollment ID: O20220510000916 |
| Entity Name | Lee Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Mark Bloomston, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-7400 | Dr Paul Mark Bloomston, MD 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 Ph: (239) 343-7400 |
Dr. Scott B Patterson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 Phone: 239-343-3474 Fax: 239-343-2968 | |
Joseph Froilan Yurich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15730 New Hampshire Ct, Fort Myers, FL 33908 Phone: 239-481-0033 Fax: 321-966-8322 | |
Dr. Rachel A Titus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075 | |
Dr. Kendrick D Mcarthur, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093 | |
Lilly Ann Bayouth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13685 Doctors Way Ste 100, Fort Myers, FL 33912 Phone: 239-343-1612 Fax: 239-343-4229 | |
Dr. John Anthony Moss, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-936-8555 Fax: 239-936-5611 | |
Dr. Holland Taylor Korbitz, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 Phone: 239-343-9960 Fax: 239-343-9977 |