Shawn Jackson, MD, PHD - Medicare Pediatrics in Boston, MA

Shawn Jackson, MD, PHD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Boston, Massachusetts. His current practice location is 300 Longwood Ave, Boston Childrens Hospital, Hunnewell Bldg, Pavilion 129, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 355-8241.

Shawn Jackson is licensed to practice in Massachusetts (license number 273433) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780078915.

Contact Information

Shawn Jackson, MD, PHD
300 Longwood Ave, Boston Childrens Hospital, Hunnewell Bldg, Pavilion 129,
Boston, MA 02115-5724
(617) 355-8241
Not Available

Map and Direction




Physician's Profile

Full NameShawn Jackson
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location300 Longwood Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780078915
  • Provider Enumeration Date: 03/25/2015
  • Last Update Date: 04/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608161591
  • Enrollment ID: I20201030000180

Medical Identifiers

Medical identifiers for Shawn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780078915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 273433 (Massachusetts)Secondary
207LP3000XAnesthesiology - Pediatric Anesthesiology 273433 (Massachusetts)Secondary
208000000XPediatrics 273433 (Massachusetts)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 273433 (Massachusetts)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. Shawn Jackson allows following entities to bill medicare on his behalf.
Entity NameChmc Anesthesia Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831268754
PECOS PAC ID: 0446155568
Enrollment ID: O20031203000162
Entity NameBoston Childrens Heart Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982680922
PECOS PAC ID: 8729071675
Enrollment ID: O20040406001030
Entity NameChildren's Hospital Pediatric Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306664
PECOS PAC ID: 3476541830
Enrollment ID: O20040504000964
Entity NameChmc Anesthesia Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831268754
PECOS PAC ID: 0446155568
Enrollment ID: O20050920000649
Entity NameBrigham & Womens Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

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. Shawn 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
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

Reviews and Comments


Pediatrics Doctors in Boston, MA

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    

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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.

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