Luisa F Hernandez Medellin, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Coral Gables, Florida. Her current practice location is
2020 Ponce De Leon Blvd Ste 1201, Coral Gables, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 917-5414.
Luisa F Hernandez Medellin is licensed to practice in Florida (license number PY9967) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770094039.
Healthcare Provider's Profile
Full Name | Luisa F Hernandez Medellin |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2020 Ponce De Leon Blvd Ste 1201, Coral Gables, Florida |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Luisa F Hernandez Medellin attended and graduated from in
NPI Data:
- NPI Number: 1770094039
- Provider Enumeration Date: 10/13/2017
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Luisa F Hernandez Medellin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770094039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | PY9967 (Florida) | Secondary |
103T00000X | Psychologist | PY9967 (Florida) | Secondary |
103TH0004X | Psychologist - Health | PY9967 (Florida) | Secondary |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PY9967 (Florida) | Secondary |
103G00000X | Clinical Neuropsychologist | PY9967 (Florida) | Primary |
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. Luisa F Hernandez Medellin 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 |
Luisa F Hernandez Medellin, PSYD 2605 Sw 133rd Ave, Miami, FL 33175-7108 Ph: (786) 488-9343 | Luisa F Hernandez Medellin, PSYD 2020 Ponce De Leon Blvd Ste 1201, Coral Gables, FL 33134-4476 Ph: (305) 917-5414 |
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