| Michele Marjorie Bloomer, MD | |
|
461 Scenic Ave, Piedmont, CA 94611-3420 | |
| (415) 476-3705 | |
| (415) 476-3511 |
| Full Name | Michele Marjorie Bloomer |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Location | 461 Scenic Ave, Piedmont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972600666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | A72716 (California) | Primary |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760552343 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389 |
| Entity Name | University Of California Sfgh Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366417420 PECOS PAC ID: 5496668410 Enrollment ID: O20031112000551 |
| Entity Name | University Of California San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
| Entity Name | Ucsf Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Entity Name | City & County Of San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Marjorie Bloomer, MD University Of California San Francisco, 10 Koret Way, Rm K220, Box 0730, San Francisco, CA 94143-0001 Ph: (415) 476-3705 | Michele Marjorie Bloomer, MD 461 Scenic Ave, Piedmont, CA 94611-3420 Ph: (415) 476-3705 |
Michael Eli Barricks, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 223 Lafayette Ave, Piedmont, CA 94611 Phone: 510-654-7752 Fax: 510-653-9257 |