Dr Susan Jone Bloom, PSY D, APNP in Coconut Creek, FL

Dr Susan Jone Bloom, PSY D, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coconut Creek, Florida. She graduated from nursing school in 1989 and has 37 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 6513 Sandpiper Dr, Coconut Creek, Florida. You can reach out to her office (for appointments etc.) via phone at (414) 455-0626.

Dr Susan Jone Bloom is licensed to practice in Wisconsin (license number 5697) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396989141.

Contact Information

	Dr Susan Jone Bloom, PSY D, APNP
	6513 Sandpiper Dr, Coconut Creek, FL 33073-2414
	(414) 455-0626
	(414) 455-0626

Map and Direction

Provider's Profile

Full Name	Dr Susan Jone Bloom
Gender	Female
Speciality	Nurse Practitioner
Experience	37 Years
Location	6513 Sandpiper Dr, Coconut Creek, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Susan Jone Bloom graduated from nursing school in 1989

NPI Data:

NPI Number: 1396989141
Provider Enumeration Date: 04/23/2009
Last Update Date: 03/04/2026

Medicare PECOS Information:

PECOS PAC ID: 0547311375
Enrollment ID: I20140421000294

Medical Identifiers

Medical identifiers for Dr Susan Jone Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396989141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5697 (Wisconsin)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11017246 (Florida)	Secondary
363L00000X	Nurse Practitioner	5697 (Wisconsin)	Secondary

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. Dr Susan Jone Bloom allows following entities to bill medicare on her behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Psychiatric Consultants & Therapists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700818119 PECOS PAC ID: 5092740985 Enrollment ID: O20050929000204

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. Dr Susan Jone 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 Address	Practice Location Address
Dr Susan Jone Bloom, PSY D, APNP 777 N Jefferson St Ste 408, Milwaukee, WI 53202-3875 Ph: (847) 372-9612	Dr Susan Jone Bloom, PSY D, APNP 6513 Sandpiper Dr, Coconut Creek, FL 33073-2414 Ph: (414) 455-0626

Reviews and Comments

Nurse Practitioner Nurses in Coconut Creek, FL

Tatiana Nicole Jarrin, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6550 N State Road 7, Coconut Creek, FL 33073 Phone: 954-426-1100
Jacqueline Dixon, BSN, RN, MSNFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4160 Nw 62nd Ct, Coconut Creek, FL 33073 Phone: 954-501-1668
Andra M Hanlon, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Lyons Rd, #110, Coconut Creek, FL 33073 Phone: 954-971-3210 Fax: 954-971-3427
Monika P. Michaeli, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4828 Coconut Creek Pkwy, Coconut Creek, FL 33063 Phone: 954-582-2828 Fax: 877-319-1851
Dr. Jennifer Catherine Peterson, DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5561 Nw 49th Way, Coconut Creek, FL 33073 Phone: 954-234-1237
Michelle Nichole Sin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3679 Cocoplum Cir Unit 3528, Coconut Creek, FL 33063 Phone: 717-658-8353
Beverly Mireles-james, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5355 Lyons Rd, Coconut Creek, FL 33073 Phone: 954-570-9595 Fax: 954-756-6229

Dr Susan Jone Bloom, PSY D, APNP - Medicare Nurse Practitioner in Coconut Creek, FL