| Shawn Jackson, MD, PHD | |
| 300 Longwood Ave, Boston Childrens Hospital, Hunnewell Bldg, Pavilion 129, Boston, MA 02115-5724 | |
| (617) 355-8241 | |
| Not Available | 
| Full Name | Shawn Jackson | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Critical Care Medicine | 
| Location | 300 Longwood Ave, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780078915 | NPI | - | NPPES | 
| Entity Name | Chmc Anesthesia Foundation Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831268754 PECOS PAC ID: 0446155568 Enrollment ID: O20031203000162 | 
| Entity Name | Boston Childrens Heart Foundation Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1982680922 PECOS PAC ID: 8729071675 Enrollment ID: O20040406001030 | 
| Entity Name | Children's Hospital Pediatric Associates, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 | 
| Entity Name | Boston Plastic & Oral Surgery | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568404903 PECOS PAC ID: 7517957285 Enrollment ID: O20040514000467 | 
| Entity Name | Chmc Anesthesia Foundation Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831268754 PECOS PAC ID: 0446155568 Enrollment ID: O20050920000649 | 
| Entity Name | Brigham & Womens Physicians Organization Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shawn Jackson, MD, PHD 300 Longwood Ave, Bader 3216, Boston, MA 02115-5724 Ph: (617) 355-8241 | Shawn Jackson, MD, PHD 300 Longwood Ave, Boston Childrens Hospital, Hunnewell Bldg, Pavilion 129, Boston, MA 02115-5724 Ph: (617) 355-8241 | 
| Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363 | |
| Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066 | |
| Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
| Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
| Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
| Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
| Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 |