Johannes Victor Blom, MD - Medicare Orthopedic Surgery in Hollywood, FL

Johannes Victor Blom, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Hollywood, Florida. He went to Boston University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ortho Florida, Llc and his current practice location is 3702 Washington St, Suite 202, Hollywood, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 964-6114.

Johannes Victor Blom is licensed to practice in Florida (license number ME94285) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184654519.

Contact Information

Johannes Victor Blom, MD
3702 Washington St, Suite 202,
Hollywood, FL 33021-8282
(954) 964-6114
(954) 962-1994



Physician's Profile

Full NameJohannes Victor Blom
GenderMale
SpecialityOrthopedic Surgery
Experience33 Years
Location3702 Washington St, Hollywood, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johannes Victor Blom attended and graduated from Boston University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1184654519
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 05/23/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7012809536
  • Enrollment ID: I20060215000602

Medical Identifiers

Medical identifiers for Johannes Victor Blom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184654519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery ME94285 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Regional HospitalHollywood, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ortho Florida, Llc3274616453102

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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. Johannes Victor Blom allows following entities to bill medicare on his behalf.
Entity NameOrtho Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821113192
PECOS PAC ID: 3274616453
Enrollment ID: O20080211000758

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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. Johannes Victor Blom 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 AddressPractice Location Address
Johannes Victor Blom, MD
3702 Washington St, Suite 202,
Hollywood, FL 33021-8282

Ph: (954) 964-6114
Johannes Victor Blom, MD
3702 Washington St, Suite 202,
Hollywood, FL 33021-8282

Ph: (954) 964-6114

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Orthopaedic Surgery Doctors in Hollywood, FL

Dr. Kingsley R Chin, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3816 Hollywood Blvd Ste 102, Hollywood, FL 33021
Phone: 954-640-6010    Fax: 855-411-4647
Dr. Barry Schapiro, M.D.
Orthopedic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 3500 Tyler St, Hollywood, FL 33021
Phone: 954-987-2047    Fax: 954-987-2048
Dr. Marc Z Hammerman, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4310 Sheridan St, Hollywood, FL 33021
Phone: 954-989-3500    Fax: 954-989-3511
Dr. Robin G. Simon-mark, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2607 Polk St, Hollywood, FL 33020
Phone: 954-925-7333    Fax: 954-925-7339
Dr. Phillip Eric Greenbarg, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4440 Sheridan St, Hollywood, FL 33021
Phone: 954-966-6450    
Michael H Jofe, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1150 N 35th Ave Ste 345, Hollywood, FL 33021
Phone: 954-265-6300    Fax: 954-961-3600

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