Pamela Dawn Randolph Jackson, MD in Washington, DC

Pamela Dawn Randolph Jackson, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Washington, District Of Columbia. She went to East Tennessee State University Quillen College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Radiation Oncology. She is a member of the group practice Medstar Medical Group Ii Llc and her current practice location is 110 Irving St Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (800) 353-0788.

Pamela Dawn Randolph Jackson is licensed to practice in District Of Columbia (license number DC 19357) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801813407.

Contact Information

	Pamela Dawn Randolph Jackson, MD
	110 Irving St Nw, Washington, DC 20010
	(800) 353-0788
	(804) 355-6031

Map and Direction

Physician's Profile

Full Name	Pamela Dawn Randolph Jackson
Gender	Female
Speciality	Radiation Oncology
Experience	36 Years
Location	110 Irving St Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Pamela Dawn Randolph Jackson attended and graduated from East Tennessee State University Quillen College Of Medicine in 1988

NPI Data:

NPI Number: 1801813407
Provider Enumeration Date: 07/17/2006
Last Update Date: 12/23/2011

Medicare PECOS Information:

PECOS PAC ID: 7719990027
Enrollment ID: I20101216000710

Medical Identifiers

Medical identifiers for Pamela Dawn Randolph Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801813407	NPI	-	NPPES
010150469	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	DC 19357 (District Of Columbia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Washington Hospital Center	Washington, DC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	1776

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. Pamela Dawn Randolph Jackson allows following entities to bill medicare on her behalf.

Entity Name	Washington Radiation Oncology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881637569 PECOS PAC ID: 8729091038 Enrollment ID: O20060802000403

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415

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. Pamela Dawn Randolph Jackson 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
Pamela Dawn Randolph Jackson, MD 12605 Willow Marsh Lane, Bowie, MD 20720 Ph: (301) 262-1528	Pamela Dawn Randolph Jackson, MD 110 Irving St Nw, Washington, DC 20010 Ph: (800) 353-0788

Reviews and Comments

Radiology Doctors in Washington, DC

Kimberly Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 301-902-1073
Dr. Michael B Shvarts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7000
Joel Bowers, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1150 Varnum St Ne, Washington, DC 20017 Phone: 202-269-7000
Krista Lyn Mcfarren, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 New Mexico Ave Nw, Suite 102, Washington, DC 20016 Phone: 202-966-0606 Fax: 202-244-6757
Ranjith Vellody, MD Radiology Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-5000
Aaron Conard, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5255 Loughboro Rd Nw, Washington, DC 20016 Phone: 240-366-7325
Dr. Estelle Cooke-sampson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2041 Georgia Ave Nw Ste 6101, Washington, DC 20060 Phone: 202-865-6679 Fax: 202-865-3138

Pamela Dawn Randolph Jackson, MD - Medicare Radiation Oncology in Washington, DC