Pamela Lee Jackson, MD - Medicare Pediatrics in Williston, VT

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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 NamePamela Lee Jackson
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: 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.
IdentifierTypeStateIssuer
1619905072NPI-NPPES
OVN0393MedicaidVT
E01148865MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 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 NameUniversity Of Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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

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.