| Mr Robert Todd Bloom, MD | |
|
1 Childrens Plz, Dayton, OH 45404-1898 | |
| (937) 641-3020 | |
| (937) 226-9605 |
| Full Name | Mr Robert Todd Bloom |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 36 Years |
| Location | 1 Childrens Plz, Dayton, Ohio |
| 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 |
|---|---|---|---|
| 1578512893 | NPI | - | NPPES |
| 0958423 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 207W00000X (Ohio) | Secondary |
| 207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | 35060138 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bloom Family Eye Surgeons Ltd | 9335108554 | 4 |
| Entity Name | Bloom Family Eye Surgeons Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649342890 PECOS PAC ID: 9335108554 Enrollment ID: O20050918000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Todd Bloom, MD 1 Childrens Plz, Dayton, OH 45404-1898 Ph: (937) 723-7772 | Mr Robert Todd Bloom, MD 1 Childrens Plz, Dayton, OH 45404-1898 Ph: (937) 641-3020 |
Dr. Jacqueline Marie Erdahl, DO Ophthalmology Medicare: Accepting Medicare Assignments 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 | |
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 | |
Dr. Brian J Mihok, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8940 Kingsridge Dr Ste 104, Dayton, OH 45458 Phone: 937-433-0454 |