Lisa Jeanne Bouma Hernandez, MD in Kissimmee, FL

Lisa Jeanne Bouma Hernandez, MD is a medicare enrolled "Pediatrics" physician in Kissimmee, Florida. Her current practice location is 3236 N Poinciana Blvd Ste 100, Kissimmee, Florida. You can reach out to her office (for appointments etc.) via phone at (076) 355-9524.

Lisa Jeanne Bouma Hernandez is licensed to practice in Florida (license number ME166907) 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 1336487784.

Contact Information

	Lisa Jeanne Bouma Hernandez, MD
	3236 N Poinciana Blvd Ste 100, Kissimmee, FL 34746-4688
	(076) 355-9524
	(407) 636-7802

Map and Direction

Physician's Profile

Full Name	Lisa Jeanne Bouma Hernandez
Gender	Female
Speciality	Pediatrics
Location	3236 N Poinciana Blvd Ste 100, Kissimmee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336487784
Provider Enumeration Date: 01/18/2013
Last Update Date: 10/28/2024

Medicare PECOS Information:

PECOS PAC ID: 6305187535
Enrollment ID: I20190416001430

Medical Identifiers

Medical identifiers for Lisa Jeanne Bouma Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336487784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME166907 (Florida)	Primary
208000000X	Pediatrics	276845 (New York)	Secondary

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. Lisa Jeanne Bouma Hernandez allows following entities to bill medicare on her behalf.

Entity Name	Downtown Bronx Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016

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. Lisa Jeanne Bouma Hernandez 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
Lisa Jeanne Bouma Hernandez, MD 3236 N Poinciana Blvd Ste 100, Kissimmee, FL 34746-4688 Ph: (407) 635-5952	Lisa Jeanne Bouma Hernandez, MD 3236 N Poinciana Blvd Ste 100, Kissimmee, FL 34746-4688 Ph: (076) 355-9524

Reviews and Comments

Pediatrics Doctors in Kissimmee, FL

Samer Khaznadar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N Rose Ave, Kissimmee, FL 34741 Phone: 407-483-7925 Fax: 407-483-7924
Dr. Maria Del Pilar Sanchez Avila, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3223 Hillsdale Ln, Kissimmee, FL 34741 Phone: 407-201-2576
Yesha Niranjan Modi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1144 Cypress Glen Cir, Kissimmee, FL 34741 Phone: 407-483-5900 Fax: 407-483-5902
Rachel Marie Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 246 Oakhurst Cir, Kissimmee, FL 34744 Phone: 754-702-7256
Dr. Kristen M Borchetta, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 246 Oakhurst Cir, Kissimmee, FL 34744 Phone: 609-964-4425
Mrs. Rosela Jarabelo Rich, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 West Oak Street, Suite 101, Kissimmee, FL 34741 Phone: 407-846-3455 Fax: 407-846-3670
Dr. Rupinder Kaur, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Celebration Pl, Kissimmee, FL 34747 Phone: 407-303-2528

Lisa Jeanne Bouma Hernandez, MD - Medicare Pediatrics in Kissimmee, FL