Mrs Tracy Roy Bloom Ii, NURSE PRACTITIONER in Napa, CA

Mrs Tracy Roy Bloom Ii, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Napa, California. She graduated from nursing school in 2000 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Medical Foundation and her current practice location is 1705 Georgia St, Napa, California. You can reach out to her office (for appointments etc.) via phone at (707) 738-3637.

Mrs Tracy Roy Bloom Ii is licensed to practice in California (license number 14057) 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 1699858357.

Contact Information

	Mrs Tracy Roy Bloom Ii, NURSE PRACTITIONER
	1705 Georgia St, Napa, CA 94559-1621
	(707) 738-3637
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tracy Roy Bloom Ii
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	1705 Georgia St, Napa, California
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:

Mrs Tracy Roy Bloom Ii graduated from nursing school in 2000

NPI Data:

NPI Number: 1699858357
Provider Enumeration Date: 10/24/2006
Last Update Date: 10/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9931320942
Enrollment ID: I20141016000570

Medical Identifiers

Medical identifiers for Mrs Tracy Roy Bloom Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699858357	NPI	-	NPPES
CA131881	Other	CA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	616687 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	14057 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Queen Of The Valley Medical Center	Napa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1329

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. Mrs Tracy Roy Bloom Ii allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Mrs Tracy Roy Bloom Ii 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
Mrs Tracy Roy Bloom Ii, NURSE PRACTITIONER 1705 Georgia St, Napa, CA 94559-1621 Ph: (707) 265-6852	Mrs Tracy Roy Bloom Ii, NURSE PRACTITIONER 1705 Georgia St, Napa, CA 94559-1621 Ph: (707) 738-3637

Reviews and Comments

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Margaret Lynn Mackey, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3010 Beard Rd, Napa, CA 94558 Phone: 707-257-1550 Fax: 707-819-9014
Eugene Butler Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1621 W Imola Ave, Napa, CA 94559 Phone: 707-251-4280
Janet M Bruneau, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Trancas St, Napa, CA 94558 Phone: 707-299-7637

Mrs Tracy Roy Bloom Ii, NURSE PRACTITIONER - Medicare Nurse Practitioner in Napa, CA