| Joshua A Bloom, MD | |
|
6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | |
| (262) 653-5360 | |
| (262) 653-5357 |
| Full Name | Joshua A Bloom |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 44 Years |
| Location | 6308 8th Ave, Kenosha, Wisconsin |
| 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 |
|---|---|---|---|
| 1770530750 | NPI | - | NPPES |
| 31437500 | Medicaid | WI | |
| 110105435 | Other | WI | MEDICARE RR |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Alliance | Pleasant prairie, WI | Hospice |
| United Hospital System | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Froedtert South Inc | 9537071196 | 132 |
| Entity Name | Froedtert South Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua A Bloom, MD 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 Ph: (262) 653-5360 | Joshua A Bloom, MD 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 Ph: (262) 653-5360 |
Hanna Mariani, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Ste 3070, Kenosha, WI 53143 Phone: 262-656-3710 Fax: 262-656-3715 | |
Leilane U Sta Romana, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd, #200, Kenosha, WI 53142 Phone: 262-658-3706 Fax: 262-658-1751 | |
Raymond W Knight, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Ste 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Rodrigo Buencamino Mata Iii, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-2710 | |
Michael H Zeihen, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Zebi Fatima, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-942-5600 | |
Timothy A. Sanborn, M.D. Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-653-3650 Fax: 262-656-3672 |