Lisa Jeanne Bouma Hernandez, MD in Orlando, FL

Lisa Jeanne Bouma Hernandez, MD is a medicare enrolled "Pediatrics" physician in Orlando, Florida. Her current practice location is 3464 Avalon Park East Blvd, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 635-3020.

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
	3464 Avalon Park East Blvd, Orlando, FL 32828-7363
	(407) 635-3020
	(321) 203-4607

Map and Direction

Physician's Profile

Full Name	Lisa Jeanne Bouma Hernandez
Gender	Female
Speciality	Pediatrics
Location	3464 Avalon Park East Blvd, Orlando, 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: 09/02/2025

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
124579800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	276845 (New York)	Secondary
208000000X	Pediatrics	ME166907 (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. 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 3464 Avalon Park East Blvd, Orlando, FL 32828-7363 Ph: (407) 635-3020	Lisa Jeanne Bouma Hernandez, MD 3464 Avalon Park East Blvd, Orlando, FL 32828-7363 Ph: (407) 635-3020

Reviews and Comments

Pediatrics Doctors in Orlando, FL

Dr. Lynn Christine Palmeri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-2528 Fax: 407-303-2760
Sobia Sarwar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7037 Rose Ave, Orlando, FL 32810 Phone: 407-286-2965
Darlene Marie Eckert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14065 Town Loop Blvd, Suite 300, Orlando, FL 32837 Phone: 407-240-5554 Fax: 407-240-5543
Sunita A Patil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 83 W Columbia St, Orlando, FL 32806 Phone: 321-843-3220 Fax: 321-843-3210
Dr. Barbara J Gans, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 N Mills Ave, Orlando, FL 32803 Phone: 407-841-7290 Fax: 407-636-7800
Adalberto Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-650-4005 Fax: 407-650-7124
Dr. Lisa Santos Spector, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-567-5924

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