Kenneth Edward Bloom, MD - Medicare Dermatology in Bronx, NY

Kenneth Edward Bloom, MD is a medicare enrolled "Dermatology" physician in Bronx, New York. He went to Rush Medical College Of Rush University and graduated in 1984 and has 40 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Shakespeare Operating Llc, Advanced Dermatology Pc and his current practice location is 1455 West Ave, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 239-1500.

Kenneth Edward Bloom is licensed to practice in New York (license number 169466) 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 1477536068.

Contact Information

Kenneth Edward Bloom, MD
1455 West Ave,
Bronx, NY 10462-7304
(718) 239-1500
(212) 765-3210



Physician's Profile

Full NameKenneth Edward Bloom
GenderMale
SpecialityDermatology
Experience40 Years
Location1455 West Ave, Bronx, New York
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:
  • Kenneth Edward Bloom attended and graduated from Rush Medical College Of Rush University in 1984
  NPI Data:
  • NPI Number: 1477536068
  • Provider Enumeration Date: 11/28/2005
  • Last Update Date: 08/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163429457
  • Enrollment ID: I20150609001213

Medical Identifiers

Medical identifiers for Kenneth Edward Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477536068NPI-NPPES
04134401MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 169466 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shakespeare Operating Llc084060431022
Advanced Dermatology Pc327452685065

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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. Kenneth Edward Bloom allows following entities to bill medicare on his behalf.
Entity NameAdvanced Dermatology Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083610521
PECOS PAC ID: 5193617082
Enrollment ID: O20040325001709

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Entity NameAdvanced Dermatology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134201460
PECOS PAC ID: 3274526850
Enrollment ID: O20040407001573

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Entity NameEssen Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885

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Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427

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Entity NameConey Island Medical Practice Plan, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386951762
PECOS PAC ID: 5496944803
Enrollment ID: O20110114000660

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Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004

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Entity NameShakespeare Operating Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720634538
PECOS PAC ID: 0840604310
Enrollment ID: O20210123000014

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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. Kenneth Edward 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 AddressPractice Location Address
Kenneth Edward Bloom, MD
200 Central Park S Apt 107,
New York, NY 10019-1449

Ph: (212) 262-2500
Kenneth Edward Bloom, MD
1455 West Ave,
Bronx, NY 10462-7304

Ph: (718) 239-1500

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Dermatology Doctors in Bronx, NY

Dr. Ali Nicole Dana, MD,PHD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468
Phone: 718-584-9000    
Dr. Mina Daoud Aziz, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3411 Wayne Ave, Bronx, NY 10467
Phone: 718-920-2680    
Dr. Shira Wieder, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Henry Hudson Pkwy Apt 1b, Bronx, NY 10463
Phone: 718-543-0900    
Dr. Richard W Green, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Bartow Ave, Suite 211, Bronx, NY 10475
Phone: 718-671-1000    Fax: 212-765-3210
Dr. Caroline Patricia Halverstam, M.D.
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 1250 Waters Pl, Tower 2, 6th Floor, Bronx, NY 10461
Phone: 866-633-8255    
Dr. Steven R Cohen, M.D.
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 111 East 210th Street, Division Of Dermatology, Bronx, NY 10467
Phone: 718-920-2176    Fax: 718-944-4219
Eugene J Whang, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3620 E Tremont Ave, 2nd Floor, Bronx, NY 10465
Phone: 718-792-4700    Fax: 718-828-1898

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