| Bloom Physician Housecalls PA | |
|
8000 W Ih 10 Ste 201 San Antonio TX 78230-3879 | |
| (303) 993-1330 | |
| Not Available |
| Full Name | Bloom Physician Housecalls PA |
|---|---|
| Speciality | Family Medicine |
| Location | 8000 W Ih 10 Ste 201, San Antonio, Texas |
| Authorized Official Name and Position | Debra Moon Wadelton (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7209231250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Physician Housecalls PA Po Box 17112 Denver CO 80217-0112 Ph: (720) 923-1250 | Bloom Physician Housecalls PA 8000 W Ih 10 Ste 201 San Antonio TX 78230-3879 Ph: (303) 993-1330 |
| NPI Number | 1770322299 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/05/2026 |
| Certification Date | 05/05/2026 |
| Medicare PECOS PAC ID | 9032653563 |
|---|---|
| Medicare Enrollment ID | O20240626000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770322299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Maria D Ponse Wheelis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174694103 PECOS PAC ID: 3375627300 Enrollment ID: I20080303000581 |
| Provider Name | Danielle Lee Walz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386844587 PECOS PAC ID: 0345414603 Enrollment ID: I20111122000818 |
| Provider Name | Adrienne R Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346523719 PECOS PAC ID: 8921260175 Enrollment ID: I20120503000686 |
| Provider Name | Jessica James Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710315965 PECOS PAC ID: 8921238437 Enrollment ID: I20140303000328 |
| Provider Name | Eileen Theresa Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336659010 PECOS PAC ID: 5193079937 Enrollment ID: I20181114003378 |
| Provider Name | Javier Montelongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962089664 PECOS PAC ID: 9638357635 Enrollment ID: I20211209002729 |
| Provider Name | Tara Melissa Darilek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245863828 PECOS PAC ID: 5395129100 Enrollment ID: I20220829000480 |
| Provider Name | Danielle Ann Whitacre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134316540 PECOS PAC ID: 7517003601 Enrollment ID: I20240626000577 |
| Provider Name | Katie Direen Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164188306 PECOS PAC ID: 2769873454 Enrollment ID: I20240729002203 |
| Provider Name | Amanda Jane Trujillo-ruedas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801689708 PECOS PAC ID: 6901313519 Enrollment ID: I20250814001497 |
| Provider Name | Corin Simone Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265383822 PECOS PAC ID: 1658848973 Enrollment ID: I20260423002595 |
| Provider Name | Celinda Leanne Yanez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427741198 PECOS PAC ID: 7618444274 Enrollment ID: I20260430003917 |
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