Dr Justin D Bloomberg, DO, OD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Oak Park, Illinois. His current practice location is
3 Erie Ct, Suite L700, Oak Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 763-1222.
Dr Justin D Bloomberg is licensed to practice in * (Not Available) (license number ) 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 1811124282.
Healthcare Provider's Profile
Full Name | Dr Justin D Bloomberg |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3 Erie Ct, Oak Park, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811124282
- Provider Enumeration Date: 06/12/2009
- Last Update Date: 05/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 1658678339
- Enrollment ID: I20160323001710
Medical Identifiers
Medical identifiers for Dr Justin D Bloomberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811124282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | PROCESSING (Iowa) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Justin D Bloomberg 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 Justin D Bloomberg, DO, OD 3 Erie Ct, Suite L700, Oak Park, IL 60302-2519 Ph: (708) 763-1222 | Dr Justin D Bloomberg, DO, OD 3 Erie Ct, Suite L700, Oak Park, IL 60302-2519 Ph: (708) 763-1222 |
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