Lisa Edmiston De Ybarrondo, MD in Houston, TX

Lisa Edmiston De Ybarrondo, MD is a medicare enrolled "Pediatrics" physician in Houston, Texas. Her current practice location is 5656 Kelley Street, 500, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 566-4541.

Lisa Edmiston De Ybarrondo is licensed to practice in Texas (license number J3696) 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 1538192646.

Contact Information

	Lisa Edmiston De Ybarrondo, MD
	5656 Kelley Street, 500, Houston, TX 77026-1967
	(713) 566-4541
	(713) 566-5844

Map and Direction

Physician's Profile

Full Name	Lisa Edmiston De Ybarrondo
Gender	Female
Speciality	Pediatrics
Location	5656 Kelley Street, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538192646
Provider Enumeration Date: 07/09/2006
Last Update Date: 11/06/2020

Medicare PECOS Information:

PECOS PAC ID: 0042219933
Enrollment ID: I20061202000125

Medical Identifiers

Medical identifiers for Lisa Edmiston De Ybarrondo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538192646	NPI	-	NPPES
125859206	Medicaid	TX
125859208	Medicaid	TX
TPI#125859206	Medicaid	TX
8G9223	Other	TX	BCBS
125859205	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	J3696 (Texas)	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. Lisa Edmiston De Ybarrondo allows following entities to bill medicare on her behalf.

Entity Name	Ut Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268

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 Edmiston De Ybarrondo 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 Edmiston De Ybarrondo, MD 5656 Kelley Street, Houston, TX 77026-1967 Ph: (713) 566-4541	Lisa Edmiston De Ybarrondo, MD 5656 Kelley Street, 500, Houston, TX 77026-1967 Ph: (713) 566-4541

Reviews and Comments

Pediatrics Doctors in Houston, TX

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Lisa R Lapeze, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18338 Kingsland Blvd, Suite 210, Houston, TX 77094 Phone: 281-599-7334 Fax: 281-599-7040
Elvis Aaron Cavazos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14730 Barryknoll Ln, Houston, TX 77079 Phone: 281-496-9700 Fax: 281-496-7821
Marlene D. Typaldos Sanchez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6701 Fannin St Ste 1040, Houston, TX 77030 Phone: 832-822-3309 Fax: 832-825-3308
Zachary Foughty, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1173

Lisa Edmiston De Ybarrondo, MD - Medicare Pediatrics in Houston, TX