Janice Pride-boone, MD in Pittsfield, MA

Janice Pride-boone, MD is a medicare enrolled "Pediatrics" physician in Pittsfield, Massachusetts. Her current practice location is 777 North Street, Suite 305, Pittsfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 499-8531.

Janice Pride-boone is licensed to practice in Massachusetts (license number 281853) 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 1487865978.

Contact Information

	Janice Pride-boone, MD
	777 North Street, Suite 305, Pittsfield, MA 01201
	(413) 499-8531
	(413) 499-8560

Map and Direction

Physician's Profile

Full Name	Janice Pride-boone
Gender	Female
Speciality	Pediatrics
Location	777 North Street, Pittsfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487865978
Provider Enumeration Date: 05/25/2007
Last Update Date: 03/11/2020

Medicare PECOS Information:

PECOS PAC ID: 9931368651
Enrollment ID: I20120315000238

Medical Identifiers

Medical identifiers for Janice Pride-boone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487865978	NPI	-	NPPES
281853	Medicaid	MA
1436585	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD 40684 (Tennessee)	Secondary
208000000X	Pediatrics	MD 62966 (New Jersey)	Secondary
208000000X	Pediatrics	MD 1582941 (New York)	Secondary
208000000X	Pediatrics	LA MD 13859R (Louisiana)	Secondary
208000000X	Pediatrics	MD 11342 (Nevada)	Secondary
208000000X	Pediatrics	G151811 (California)	Secondary
208000000X	Pediatrics	281853 (Massachusetts)	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. Janice Pride-boone allows following entities to bill medicare on her behalf.

Entity Name	St. Mary's Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518926401 PECOS PAC ID: 7618960709 Enrollment ID: O20040405001628

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. Janice Pride-boone 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
Janice Pride-boone, MD P.o. Box 30, Great Barrington, MA 01230 Ph: (413) 528-9311	Janice Pride-boone, MD 777 North Street, Suite 305, Pittsfield, MA 01201 Ph: (413) 499-8531

Reviews and Comments

Pediatrics Doctors in Pittsfield, MA

Dr. Alan Gray Kulberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 North St Ste 305, Berkshire Pediatric Associates Pc, Pittsfield, MA 01201 Phone: 413-499-8535 Fax: 413-499-8535
Betsy K Valade, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 777 North Street, Pittsfield, MA 01201 Phone: 413-499-8531 Fax: 413-499-8560
Sandeep Kumar Puri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 777 North Street, Suite 305, Pittsfield, MA 01201 Phone: 413-449-8531 Fax: 413-499-8560
John C Dallenbach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 426 East St, Pittsfield, MA 01201 Phone: 413-442-8267
Dr. Gary S Shalan, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 777 North Street, Pittsfield, MA 01201 Phone: 413-499-8531 Fax: 413-499-8560
David I Sorkin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2000

Janice Pride-boone, MD - Medicare Pediatrics in Pittsfield, MA