Byron J Bloom, PA-C - Medicare Physician Assistant in Shelbyville, TN

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Byron J Bloom, PA-C is a medicare enrolled "Physician Assistant - Medical" in Shelbyville, Tennessee. His current practice location is 112 Airport Business Park Dr, Shelbyville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 680-6360.

Byron J Bloom is licensed to practice in Tennessee (license number 922) 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 1801074042.

Contact Information

Byron J Bloom, PA-C
112 Airport Business Park Dr,
Shelbyville, TN 37160-7452
(931) 680-6360
(931) 680-9909

Map and Direction




Provider's Profile

Full NameByron J Bloom
GenderMale
SpecialityPhysician Assistant - Medical
Location112 Airport Business Park Dr, Shelbyville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801074042
  • Provider Enumeration Date: 02/08/2008
  • Last Update Date: 04/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577700061
  • Enrollment ID: I20130430000251

Medical Identifiers

Medical identifiers for Byron J Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801074042NPI-NPPES
1801074042OtherTNNPI
922OtherTNPA LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 922 (Tennessee)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. Byron J Bloom allows following entities to bill medicare on his behalf.
Entity NameJoseph Howard Rupard
Entity TypePractitioner - Family Practice
Entity IdentifiersNPI Number: 1861451338
PECOS PAC ID: 7214052356
Enrollment ID: I20100914000285
Entity NamePrivia Medical Group Tennessee LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376110858
PECOS PAC ID: 0547667552
Enrollment ID: O20210917001131
Entity NameHardin Family Medicine PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497625826
PECOS PAC ID: 5597250670
Enrollment ID: O20251217001440

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. Byron J 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
Byron J Bloom, PA-C
2503 Burgess St,
Murfreesboro, TN 37128-7641

Ph: (615) 519-3775		Byron J Bloom, PA-C
112 Airport Business Park Dr,
Shelbyville, TN 37160-7452

Ph: (931) 680-6360

Reviews and Comments


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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.