Bloom Wellness LLC
A Medicare group practice based in Cripple Creek, CO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294189080), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294189080
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CO
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230927003392 | CO | Part B Supplier - Clinic/Group Practice | 1760177919 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Bloom Wellness LLC
- Clinical Social Worker
- Woodland Park, CO
- NPI 1760177919
-
Bloom Wellness LLC
- Clinical Social Worker
- Green Mountain Falls, CO
- NPI 1114723558
Practice locations
- Woodland Park, CO1
- Green Mountain Falls, CO1
- Cripple Creek, CO1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Timothy Lee Corbley, LCSW
- Clinical Social Worker
- Green Mountain Falls, CO
- NPI 1114630977
-
Laura Magnuson, MSW, LSW
- Mental Health Counselor
- Denver, CO
- NPI 1881093839
-
Amy Stewart
- Clinical Social Worker
- Woodland Park, CO
- NPI 1952017964
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.