Kenneth Edward Bloom, MD - Medicare Dermatology in Bronx, NY

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Kenneth Edward Bloom, MD is a medicare enrolled "Dermatology" physician in Bronx, New York. He went to Rush Medical College Of Rush University and graduated in 1984 and has 41 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Shakespeare Operating Llc and his current practice location is 1455 West Ave, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 239-1500.

Kenneth Edward Bloom is licensed to practice in New York (license number 169466) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477536068.

Contact Information

Kenneth Edward Bloom, MD
1455 West Ave,
Bronx, NY 10462-7304
(718) 239-1500
(212) 765-3210

Map and Direction




Physician's Profile

Full NameKenneth Edward Bloom
GenderMale
SpecialityDermatology
Experience41 Years
Location1455 West Ave, Bronx, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Edward Bloom attended and graduated from Rush Medical College Of Rush University in 1984
  NPI Data:
  • NPI Number: 1477536068
  • Provider Enumeration Date: 11/28/2005
  • Last Update Date: 08/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163429457
  • Enrollment ID: I20150609001213

Medical Identifiers

Medical identifiers for Kenneth Edward Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477536068NPI-NPPES
04134401MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 169466 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shakespeare Operating Llc084060431099

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. Kenneth Edward Bloom allows following entities to bill medicare on his behalf.
Entity NameAdvanced Dermatology Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083610521
PECOS PAC ID: 5193617082
Enrollment ID: O20040325001709
Entity NameAdvanced Dermatology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134201460
PECOS PAC ID: 3274526850
Enrollment ID: O20040407001573
Entity NameEssen Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660
Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004
Entity NameShakespeare Operating Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720634538
PECOS PAC ID: 0840604310
Enrollment ID: O20210123000014

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. Kenneth Edward 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 AddressPractice Location Address
Kenneth Edward Bloom, MD
200 Central Park S Apt 107,
New York, NY 10019-1449

Ph: (212) 262-2500		Kenneth Edward Bloom, MD
1455 West Ave,
Bronx, NY 10462-7304

Ph: (718) 239-1500

Reviews and Comments


Dermatology Doctors in Bronx, NY

Maira Fonseca,
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Dr. Shira Wieder, MD
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Dr. Richard W Green, MD
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Practice Location: 2100 Bartow Ave, Suite 211, Bronx, NY 10475
Phone: 718-671-1000    Fax: 212-765-3210
Dr. Caroline Patricia Halverstam, M.D.
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Medicare: May Accept Medicare Assignments
Practice Location: 1250 Waters Pl, Tower 2, 6th Floor, Bronx, NY 10461
Phone: 866-633-8255    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.