Pamela Bloomfield, is a medicare enrolled "Nurse Practitioner" in Alexis, Illinois. Her current practice location is
204 S Main St, Alexis, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 482-5571.
Pamela Bloomfield is licensed to practice in Illinois (license number 041309674-209006164) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326105024.
Provider's Profile
| Full Name | Pamela Bloomfield |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 204 S Main St, Alexis, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1326105024
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9133121957
- Enrollment ID: I20070207000679
Medical Identifiers
Medical identifiers for Pamela Bloomfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326105024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 041309674-209006164 (Illinois) | 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. Pamela Bloomfield allows following entities to bill medicare on her behalf.
| Entity Name | Osf Multi-specialty Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
|---|
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. Pamela Bloomfield 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 |
|---|
Pamela Bloomfield,
204 S Main St,
Alexis, IL 61412
Ph: (309) 482-5571 | Pamela Bloomfield,
204 S Main St,
Alexis, IL 61412
Ph: (309) 482-5571 |
Reviews and Comments