Janice Pride-boone, MD - Medicare Pediatrics in Pittsfield, MA

Janice Pride-boone, MD is a medicare enrolled "Pediatrics" physician in Pittsfield, Massachusetts. Her current practice location is 777 North Street, Suite 305, Pittsfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 499-8531.

Janice Pride-boone is licensed to practice in Massachusetts (license number 281853) 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 1487865978.

Contact Information

Janice Pride-boone, MD
777 North Street, Suite 305,
Pittsfield, MA 01201
(413) 499-8531
(413) 499-8560



Physician's Profile

Full NameJanice Pride-boone
GenderFemale
SpecialityPediatrics
Location777 North Street, Pittsfield, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487865978
  • Provider Enumeration Date: 05/25/2007
  • Last Update Date: 03/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9931368651
  • Enrollment ID: I20120315000238

Medical Identifiers

Medical identifiers for Janice Pride-boone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487865978NPI-NPPES
281853MedicaidMA
1436585MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD 40684 (Tennessee)Secondary
208000000XPediatrics MD 62966 (New Jersey)Secondary
208000000XPediatrics MD 1582941 (New York)Secondary
208000000XPediatrics LA MD 13859R (Louisiana)Secondary
208000000XPediatrics MD 11342 (Nevada)Secondary
208000000XPediatrics G151811 (California)Secondary
208000000XPediatrics 281853 (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. Janice Pride-boone allows following entities to bill medicare on her behalf.
Entity NameSt. Mary's Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518926401
PECOS PAC ID: 7618960709
Enrollment ID: O20040405001628

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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. Janice Pride-boone 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
Janice Pride-boone, MD
P.o. Box 30,
Great Barrington, MA 01230

Ph: (413) 528-9311
Janice Pride-boone, MD
777 North Street, Suite 305,
Pittsfield, MA 01201

Ph: (413) 499-8531

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Pediatrics Doctors in Pittsfield, MA

Dr. Alan Gray Kulberg, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 777 North St Ste 305, Berkshire Pediatric Associates Pc, Pittsfield, MA 01201
Phone: 413-499-8535    Fax: 413-499-8535
Betsy K Valade, D.O
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 777 North Street, Pittsfield, MA 01201
Phone: 413-499-8531    Fax: 413-499-8560
Adam Gicewicz, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 758 East St, Pittsfield, MA 01201
Phone: 134-448-8212    Fax: 413-443-5296
John C Dallenbach, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 426 East St, Pittsfield, MA 01201
Phone: 413-442-8267    
Dr. Gary S Shalan, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 777 North Street, Pittsfield, MA 01201
Phone: 413-499-8531    Fax: 413-499-8560
David I Sorkin, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 725 North St, Pittsfield, MA 01201
Phone: 413-447-2000    

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