Michelle Tamara Shepard, MD, PHD - Medicare Pediatrics in Williston, VT

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Michelle Tamara Shepard, MD, PHD is a medicare enrolled "Pediatrics" physician in Williston, Vermont. Her current practice location is 353 Blair Park Rd, Williston, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 847-1440.

Michelle Tamara Shepard is licensed to practice in Vermont (license number 042-0012954) 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 1194016956.

Contact Information

Michelle Tamara Shepard, MD, PHD
353 Blair Park Rd,
Williston, VT 05495-7530
(802) 847-1440
Not Available

Map and Direction




Physician's Profile

Full NameMichelle Tamara Shepard
GenderFemale
SpecialityPediatrics
Location353 Blair Park Rd, Williston, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194016956
  • Provider Enumeration Date: 04/28/2011
  • Last Update Date: 09/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032330402
  • Enrollment ID: I20141028002107

Medical Identifiers

Medical identifiers for Michelle Tamara Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194016956NPI-NPPES
3098587MedicaidNH
1023652MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 042-0012954 (Vermont)Primary
208M00000XHospitalist 042.0012954 (Vermont)Secondary

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. Michelle Tamara Shepard allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659309615
PECOS PAC ID: 3779491071
Enrollment ID: O20040406001047
Entity NameCentral Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023028784
PECOS PAC ID: 9335138817
Enrollment ID: O20051220000393

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. Michelle Tamara Shepard 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 AddressPractice Location Address
Michelle Tamara Shepard, MD, PHD
111 Colchester Ave,
Burlington, VT 05401-1473

Ph: () -		Michelle Tamara Shepard, MD, PHD
353 Blair Park Rd,
Williston, VT 05495-7530

Ph: (802) 847-1440

Reviews and Comments


Pediatrics Doctors in Williston, VT

Dr. Ann S Wittpenn, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 353 Blair Park Rd, Williston, VT 05495
Phone: 802-847-1440    
Eliot W. Nelson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 353 Blair Park Rd, Williston, VT 05495
Phone: 802-847-1440    Fax: 802-847-3014
Pamela Lee Jackson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 353 Blair Park Rd, Williston, VT 05495
Phone: 802-847-1440    Fax: 802-847-3014

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.