DR. PAMELA DERICKSON MD
NPI 1750918280
Psychiatry & Neurology - Psychiatry in Burlington, VT
About Dr. Pamela Derickson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAMELA DERICKSON MD (NPI 1750918280) is an individual psychiatry provider in Burlington, Vermont, licensed in Vermont (042.0016455) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of University Of Vermont College Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Pamela Derickson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Pamela Derickson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York enrollment
- 675 clinicians in this Medicare group
Berlin, VT 05602
- Reassigned Medicare billing, Vermont enrollment
- 562 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Univ. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pamela Derickson's NPI number?
The NPI number for Pamela Derickson is 1750918280. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Pamela Derickson located?
Pamela Derickson practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-2345.
What is Pamela Derickson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Pamela Derickson enrolled in Medicare?
Yes. Pamela Derickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pamela Derickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Derickson reassigns Medicare benefits to 3 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY) and Central Vermont Medical Center Inc (Berlin, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Derickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pamela Derickson accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Pamela Derickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Pamela Derickson affiliated with any hospitals?
According to CMS data, Pamela Derickson is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.
When was this NPI record last updated?
The NPPES record for Pamela Derickson was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Pamela Derickson, MD · NPI 1750918280
Psychiatry physician in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1750918280 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 042.0016455 (Vermont)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 COLCHESTER AVE, Burlington, VT 05401-1473
- **Phone:** (802) 847-2345
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT); Champlain Valley Physicians Hospital Medical Center (NPI 1033270699, Plattsburgh, NY); Central Vermont Medical Center Inc (NPI 1023028784, Berlin, VT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** July 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750918280) · Data from the CMS NPPES public registry.