Shaundreal Desere'e Jamison, MD in Greenville, NC

Shaundreal Desere'e Jamison, MD is a medicare enrolled "Pediatrics" physician in Greenville, North Carolina. Her current practice location is 600 Moye Blvd, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 744-2335.

Shaundreal Desere'e Jamison is licensed to practice in North Carolina (license number 2016-01611) 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 1245677111.

Contact Information

	Shaundreal Desere'e Jamison, MD
	600 Moye Blvd, Greenville, NC 27834
	(252) 744-2335
	(252) 744-3811

Map and Direction

Physician's Profile

Full Name	Shaundreal Desere'e Jamison
Gender	Female
Speciality	Pediatrics
Location	600 Moye Blvd, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245677111
Provider Enumeration Date: 05/31/2013
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 2961623152
Enrollment ID: I20180625001955

Medical Identifiers

Medical identifiers for Shaundreal Desere'e Jamison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245677111	NPI	-	NPPES
1245677111	Medicaid	NC
NN20700322	Other	NC	MEDICARE
19XAZ	Other	NC	BCBS OF NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	LL35737 (South Carolina)	Secondary
208000000X	Pediatrics	2016-01611 (North Carolina)	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. Shaundreal Desere'e Jamison allows following entities to bill medicare on her behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

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. Shaundreal Desere'e Jamison 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
Shaundreal Desere'e Jamison, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () -	Shaundreal Desere'e Jamison, MD 600 Moye Blvd, Greenville, NC 27834 Ph: (252) 744-2335

Reviews and Comments

Pediatrics Doctors in Greenville, NC

Dr. Judy W Wood, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Pediatric Outpatient Center, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811
Dr. Karen Mary Goth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Stonehenge Dr, Greenville, NC 27858 Phone: 252-561-7777 Fax: 252-561-7778
Heidi Kenefick, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811
Leonard C Hymes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2150 Herbert Ct, Ecu Physicians Pediatric Nephrology, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514
Dr. Jennifer E Crotty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2535 Fax: 252-744-3811
Joseph Ginski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378 Fax: 252-847-9943
Weili Chang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-0766 Fax: 252-744-0392

Shaundreal Desere'e Jamison, MD - Medicare Pediatrics in Greenville, NC