Jessica Marie Addison

MD | Pediatric Adolescent Medicine | Female

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Complete Profile:

Jessica Marie Addison basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Jessica Marie Addison
Credential :	MD
Gender :	Female

Business Address:

Jessica Marie Addison address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	333 Longwood Ave Boston, MA, 02115-5711 United States
Phone Number :	617-355-7181

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1275824948
NPI Entity Type :	Individual
First Enrolment Date :	28 Apr, 2011
Last Updated On :	21 Jul, 2022

Medicare Participation:

Jessica Marie Addison participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2860632064
Medicare Enrollment ID :	I20171026000833
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Virginia School Of Medicine
Graduation Year :	2011
Accepts Medicare?	Yes. Jessica Marie Addison accepts medicare insurance.

Group Practice Association:

Jessica Marie Addison is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jessica Marie Addison is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Children's Hospital Pediatric Associates, Inc	3476541830	231	300 Longwood Ave Boston, MA - 021155724 Ph: 6173556000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jessica Marie Addison are as mentioned. Primary taxonomy code for Jessica Marie Addison, MD is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD042125	DC
2080A0000X	Pediatrics Adolescent Medicine	Yes	272429	MA

Other Practice Locations:

Practice Address	City, State	Phone Number
111 MICHIGAN AVE NW, WASHINGTON, DC, 20010-2916 United States	WASHINGTON, DC	202-476-2178

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1090 Beacon St Apt 2d Brookline, MA, 02446-3966 United States
Phone Number :	202-549-4001

Business Location:

Patients can refer following map for directions to Jessica Marie Addison practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.