Dr Eduardo Fausto Bolumen, MD in Kissimmee, FL

Dr Eduardo Fausto Bolumen, MD is a medicare enrolled "Pediatrics" physician in Kissimmee, Florida. His current practice location is 201 Hilda St Ste 10, Kissimmee, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 574-4848.

Dr Eduardo Fausto Bolumen is licensed to practice in Florida (license number ME0065418) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174582639.

Contact Information

	Dr Eduardo Fausto Bolumen, MD
	201 Hilda St Ste 10, Kissimmee, FL 34741-2359
	(407) 574-4848
	(407) 518-1919

Map and Direction

Physician's Profile

Full Name	Dr Eduardo Fausto Bolumen
Gender	Male
Speciality	Pediatrics
Location	201 Hilda St Ste 10, 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: 1174582639
Provider Enumeration Date: 03/22/2006
Last Update Date: 08/23/2025

Medicare PECOS Information:

PECOS PAC ID: 3173811239
Enrollment ID: I20161005003075

Medical Identifiers

Medical identifiers for Dr Eduardo Fausto Bolumen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174582639	NPI	-	NPPES
3743268-00	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	ME0065418 (Florida)	Secondary
208000000X	Pediatrics	ME0065418 (Florida)	Primary

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. Dr Eduardo Fausto Bolumen allows following entities to bill medicare on his behalf.

Entity Name	Medical Research Of Miami Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134904741 PECOS PAC ID: 5193177384 Enrollment ID: O20240124000624

Entity Name	Special Wellness Center Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962129833 PECOS PAC ID: 1456896489 Enrollment ID: O20240713000618

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. Dr Eduardo Fausto Bolumen 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
Dr Eduardo Fausto Bolumen, MD 201 Hilda St Ste 10, Kissimmee, FL 34741-2359 Ph: (407) 574-4848	Dr Eduardo Fausto Bolumen, MD 201 Hilda St Ste 10, Kissimmee, FL 34741-2359 Ph: (407) 574-4848

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
Anthonella De Jesus Benitez Ojeda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1975 S John Young Pkwy Ste 204, Kissimmee, FL 34741 Phone: 407-249-1234 Fax: 407-249-1755
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
Jeannie Paola Medina Paez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3274 Greenwald Way N, Kissimmee, FL 34741 Phone: 407-249-1234

Dr Eduardo Fausto Bolumen, MD - Medicare Pediatrics in Kissimmee, FL