Dr Michelle S Wolf-bloom, PHD in San Jose, CA - Medicare Psychologist Provider

Dr Michelle S Wolf-bloom, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Jose, California. Her current practice location is 275 Hospital Pkwy, Suite 600, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-7000.

Dr Michelle S Wolf-bloom is licensed to practice in California (license number PSY16688) 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 1396884789.

Contact Information

	Dr Michelle S Wolf-bloom, PHD
	275 Hospital Pkwy, Suite 600, San Jose, CA 95119-1106
	(408) 972-7000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michelle S Wolf-bloom
Gender	Female
Speciality	Psychologist - Clinical
Location	275 Hospital Pkwy, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396884789
Provider Enumeration Date: 02/05/2007
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1658521422
Enrollment ID: I20121101000557

Medical Identifiers

Medical identifiers for Dr Michelle S Wolf-bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396884789	NPI	-	NPPES
PSY16688	Other	CA	PSYCHOLOGIST LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY16688 (California)	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 Michelle S Wolf-bloom allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Wellspring Psychology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841655545 PECOS PAC ID: 4385948041 Enrollment ID: O20160201002366

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 Michelle S Wolf-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 Michelle S Wolf-bloom, PHD 275 Hospital Pkwy, Suite 600, San Jose, CA 95119-1106 Ph: () -	Dr Michelle S Wolf-bloom, PHD 275 Hospital Pkwy, Suite 600, San Jose, CA 95119-1106 Ph: (408) 972-7000

Reviews and Comments

Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276
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Dr. Sepideh Afrakhteh Katz, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Road, San Jose, CA 95134 Phone: 408-451-6198
Dr. Kelly Sue Lynch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 2001 The Alameda, Momentum For Mental Health Service Team Adult Outpatie, San Jose, CA 95126 Phone: 408-261-7777 Fax: 408-259-2273

Dr Michelle S Wolf-bloom, PHD - Medicare Psychologist in San Jose, CA