Dr Kimberly Bougoulias, MD in Lake Mary, FL

Dr Kimberly Bougoulias, MD is a medicare enrolled "Pediatrics" physician in Lake Mary, Florida. Her current practice location is 725 Rodel Cv, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 302-3130.

Dr Kimberly Bougoulias is licensed to practice in Florida (license number ME61498) 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 1457342453.

Contact Information

	Dr Kimberly Bougoulias, MD
	725 Rodel Cv, Lake Mary, FL 32746-4859
	(407) 302-3130
	(407) 302-3132

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Bougoulias
Gender	Female
Speciality	Pediatrics
Location	725 Rodel Cv, Lake Mary, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457342453
Provider Enumeration Date: 10/31/2005
Last Update Date: 05/18/2020

Medicare PECOS Information:

PECOS PAC ID: 1759501232
Enrollment ID: I20141003002144

Medical Identifiers

Medical identifiers for Dr Kimberly Bougoulias such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457342453	NPI	-	NPPES
375490100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME61498 (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. Dr Kimberly Bougoulias 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 Kimberly Bougoulias, MD 725 Rodel Cv, Lake Mary, FL 32746-4859 Ph: (407) 302-3130	Dr Kimberly Bougoulias, MD 725 Rodel Cv, Lake Mary, FL 32746-4859 Ph: (407) 302-3130

Reviews and Comments

Pediatrics Doctors in Lake Mary, FL

Dr. Karen J Hillock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 410 Waymont Ct, Lake Mary, FL 32746 Phone: 407-323-3550 Fax: 407-322-6127
Kacie Noelle Lutz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 735 Primera Blvd, Suite #135, Lake Mary, FL 32746 Phone: 407-321-0085 Fax: 407-328-7658
Dr. Mitchell W. Madden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Rodel Cv, Lake Mary, FL 32746 Phone: 407-302-3130 Fax: 407-302-3132
Sarah C Li, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 410 Waymont Ct, Lake Mary, FL 32746 Phone: 407-323-3550 Fax: 407-330-5962
Gabriel James Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 410 Waymont Ct, Lake Mary, FL 32746 Phone: 407-323-3550 Fax: 407-330-5962
Dr. Aileen J. Field, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Rodel Cv, Lake Mary, FL 32746 Phone: 407-302-3130 Fax: 407-302-3132
Orlando Mota-aquino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Rodel Cv Ste 100, Lake Mary, FL 32746 Phone: 407-302-3130 Fax: 407-302-3132

Dr Kimberly Bougoulias, MD - Medicare Pediatrics in Lake Mary, FL