Samantha Louise Jackson-dilts, MD in Annapolis, MD - Medicare Pediatrics

Samantha Louise Jackson-dilts, MD is a medicare enrolled "Pediatrics" physician in Annapolis, Maryland. Her current practice location is 2301a Forest Dr, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 266-6767.

Samantha Louise Jackson-dilts is licensed to practice in Maryland (license number D78881) 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 1821256801.

Contact Information

	Samantha Louise Jackson-dilts, MD
	2301a Forest Dr, Annapolis, MD 21401-3833
	(410) 266-6767
	(410) 266-6761

Physician's Profile

Full Name	Samantha Louise Jackson-dilts
Gender	Female
Speciality	Pediatrics
Location	2301a Forest Dr, Annapolis, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821256801
Provider Enumeration Date: 05/27/2008
Last Update Date: 02/16/2022

Medicare PECOS Information:

PECOS PAC ID: 9830337724
Enrollment ID: I20150420002116

Medical Identifiers

Medical identifiers for Samantha Louise Jackson-dilts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821256801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	61798 (Tennessee)	Secondary
208000000X	Pediatrics	002952 (Georgia)	Secondary
208000000X	Pediatrics	D78881 (Maryland)	Primary
208000000X	Pediatrics	0101269251 (Virginia)	Secondary

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. Samantha Louise Jackson-dilts 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
Samantha Louise Jackson-dilts, MD 1 Hollow Ln Ste 301, New Hyde Park, NY 11042-1215 Ph: (516) 207-7851	Samantha Louise Jackson-dilts, MD 2301a Forest Dr, Annapolis, MD 21401-3833 Ph: (410) 266-6767

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Pediatrics Doctors in Annapolis, MD

John W Mcgrath, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Forbes St, Annapolis, MD 21401 Phone: 410-263-6363 Fax: 410-263-4086
Dr. Jeffrey T Nold, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2024 West St Ste 400, Annapolis, MD 21401 Phone: 410-224-7667 Fax: 410-573-4926
Dr. Gail Sue-ann Rose-green, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Pm Pediatrics Of Annapolis, Festival At Riva Shopping Center, 2301-a Forest Drive, Annapolis, MD 21401 Phone: 410-266-6767 Fax: 410-266-6761
Petra Vaclavkova, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Medical Parkway, Annapolis, MD 21401 Phone: 443-481-1000
Dr. Salwa Elsamanoudi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2629 Riva Rd, Suite 112, Annapolis, MD 21401 Phone: 410-266-1000 Fax: 410-573-4028
Dr. Suzanne Rindfleisch, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401 Phone: 443-481-6962 Fax: 443-481-6954
Dr. Zwena Mcleod-o'donnell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Forbes St Ste 200, Annapolis, MD 21401 Phone: 410-263-6363 Fax: 410-263-7551

Samantha Louise Jackson-dilts, MD - Medicare Pediatrics in Annapolis, MD