| Alyssa Hernandez Pena, PA-C | |
|
133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 | |
| (407) 644-4883 | |
| Not Available |
| Full Name | Alyssa Hernandez Pena |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 133 Benmore Dr Ste 100, Winter Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679071336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | The Ear Nose and Throat Surgical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114905148 PECOS PAC ID: 2466437926 Enrollment ID: O20040621000545 |
| Entity Name | Mid-florida Dermatology Associates P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619018561 PECOS PAC ID: 1254233786 Enrollment ID: O20051018000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Hernandez Pena, PA-C 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 Ph: (407) 644-4883 | Alyssa Hernandez Pena, PA-C 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 Ph: (407) 644-4883 |
Mrs. Shamim A Hasan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1605 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-845-8356 |
Mrs. Danielle Fay Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 118 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-646-2235 |
Miss Lindsey Mack, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2540 Lee Rd, Winter Park, FL 32789 Phone: 407-629-9281 |
Mr. Victor Dorian Barnard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1285 Orange Ave, Winter Park, FL 32789 Phone: 407-647-2287 Fax: 407-643-2801 |
Lucine Humes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1605 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-845-8356 Fax: 407-845-8357 |
Mrs. Lynn J Kugler-clark, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 W Morse Blvd, Winter Park, FL 32789 Phone: 407-629-8121 Fax: 407-629-7250 |
Ms. Nishla Sobers, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1950 Lee Rd, Ste 105, Winter Park, FL 32789 Phone: 407-647-2346 Fax: 407-647-5431 |