Pamela Lee Jackson, MD in Williston, VT

Pamela Lee Jackson, MD 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.

Pamela Lee Jackson is licensed to practice in Vermont (license number 42-0008559) 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 1619905072.

Contact Information

	Pamela Lee Jackson, MD
	353 Blair Park Rd, Williston, VT 05495-7530
	(802) 847-1440
	(802) 847-3014

Map and Direction

Physician's Profile

Full Name	Pamela Lee Jackson
Gender	Female
Speciality	Pediatrics
Location	353 Blair Park Rd, Williston, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619905072
Provider Enumeration Date: 06/28/2006
Last Update Date: 01/08/2015

Medicare PECOS Information:

PECOS PAC ID: 7214944974
Enrollment ID: I20060321000557

Medical Identifiers

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

Identifier	Type	State	Issuer
1619905072	NPI	-	NPPES
OVN0393	Medicaid	VT
E01148865	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	42-0008559 (Vermont)	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. Pamela Lee Jackson allows following entities to bill medicare on her behalf.

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

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 Lee 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 Lee Jackson, MD 4 Harbor Ridge Rd, South Burlington, VT 05403-7849 Ph: (802) 863-8962	Pamela Lee Jackson, MD 353 Blair Park Rd, Williston, VT 05495-7530 Ph: (802) 847-1440

Reviews and Comments

Pediatrics Doctors in Williston, VT

Michelle Tamara Shepard, M.D., PHD. Pediatrics Medicare: Medicare Enrolled Practice Location: 353 Blair Park Rd, Williston, VT 05495 Phone: 802-847-1440
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, MD - Medicare Pediatrics in Williston, VT