Jeffrey Bloom, DO in Dayton, OH - Medicare Ophthalmology

Jeffrey Bloom, DO is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Dayton, Ohio. His current practice location is 6683 Centerville Business Pkwy, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 723-7772.

Jeffrey Bloom is licensed to practice in Ohio (license number 34.017533) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194286773.

Contact Information

	Jeffrey Bloom, DO
	6683 Centerville Business Pkwy, Dayton, OH 45459-2655
	(937) 723-7772
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeffrey Bloom
Gender	Male
Speciality	Ophthalmology - Retina Specialist
Location	6683 Centerville Business Pkwy, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194286773
Provider Enumeration Date: 03/27/2019
Last Update Date: 08/03/2025

Medicare PECOS Information:

PECOS PAC ID: 9335479963
Enrollment ID: I20230719002280

Medical Identifiers

Medical identifiers for Jeffrey Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194286773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	20A21241 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207WX0107X	Ophthalmology - Retina Specialist	34.017533 (Ohio)	Primary

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. Jeffrey Bloom allows following entities to bill medicare on his behalf.

Entity Name	Retina Institute Of California Medical Group, A California Medical Par
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760541569 PECOS PAC ID: 4587760749 Enrollment ID: O20070503000626

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. Jeffrey 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
Jeffrey Bloom, DO 1020 Woodman Dr Ste 105, Dayton, OH 45432-1410 Ph: (937) 723-3248	Jeffrey Bloom, DO 6683 Centerville Business Pkwy, Dayton, OH 45459-2655 Ph: (937) 723-7772

Reviews and Comments

Ophthalmology Doctors in Dayton, OH

Dr. Jacqueline Marie Erdahl, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 1020 Woodman Dr Ste 105, Dayton, OH 45432 Phone: 937-723-7772 Fax: 937-226-9605
Peter Constantine Koumas, DO Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409 Phone: 937-222-3937 Fax: 937-223-5416
Edward Robert Thomas Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 105 Sugar Camp Cir, Ste 200, Dayton, OH 45409 Phone: 937-222-3937 Fax: 937-223-5416
John C Kunesh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2601 Far Hills Ave, Dayton, OH 45419 Phone: 937-298-1703 Fax: 937-298-6344
Dr. Scott Michael Pfahler, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 301 W 1st St, Suite 300, Dayton, OH 45402 Phone: 937-228-5015 Fax: 937-228-5971
Dr. Marshall Claude Wareham, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5250 Far Hills Ave, Suite 207, Dayton, OH 45429 Phone: 937-433-2300 Fax: 937-433-0210
Dr. William Joseph Kessler, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2600 Far Hills Ave, Ste 15, Dayton, OH 45419 Phone: 937-294-1159 Fax: 937-294-8836

Jeffrey Bloom, DO - Medicare Ophthalmology in Dayton, OH