Dr Alex Bloom, PSYD in Beaverton, OR - Medicare Psychologist Provider

Dr Alex Bloom, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Beaverton, Oregon. His current practice location is 8285 Sw Nimbus Ave Ste 130, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 610-2044.

Dr Alex Bloom is licensed to practice in Oregon (license number 2330) 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 1124357306.

Contact Information

	Dr Alex Bloom, PSYD
	8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008-6428
	(503) 610-2044
	(503) 296-2102

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alex Bloom
Gender	Male
Speciality	Psychologist - Clinical
Location	8285 Sw Nimbus Ave Ste 130, Beaverton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124357306
Provider Enumeration Date: 12/16/2009
Last Update Date: 05/20/2022

Medicare PECOS Information:

PECOS PAC ID: 5395987077
Enrollment ID: I20130808000488

Medical Identifiers

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

Identifier	Type	State	Issuer
1124357306	NPI	-	NPPES
164936	Medicaid	OR
R0000WDBCH	Other		MEDICARE GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2330 (Oregon)	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. Dr Alex Bloom allows following entities to bill medicare on his behalf.

Entity Name	Western Psychological And Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049

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 Alex 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 Alex Bloom, PSYD 399 E 10th Ave, Eugene, OR 97401-3380 Ph: (541) 868-2004	Dr Alex Bloom, PSYD 8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008-6428 Ph: (503) 610-2044

Reviews and Comments

Psychologist in Beaverton, OR

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Dr. Minkyeong Shin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8285 Sw Nimbus Ave Ste 130, Beaverton, OR 97008 Phone: 503-610-2044
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Dr Alex Bloom, PSYD - Medicare Psychologist in Beaverton, OR