Pamela B Hackert, M.D., J.D., M.P.H.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

4301061428 Issued in MI

Practice address

100 E Michigan Ave Ste 101
Jackson, MI 49201-1406

Phone

(517) 205-7766

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Preventive Medicine

Education

University of Michigan Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GGAICA/Endpoint/GGAICA
• Direct secure messaging: phackert607928@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Oakland

  • Public Health or Welfare Agency
  • Pontiac, MI
  • NPI 1831242528
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1265545677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26491 CAROL AVE",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251781",
            "telephone_number": "248-752-5257",
            "fax_number": "248-452-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MICHIGAN AVE STE 101",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011406",
            "telephone_number": "517-205-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKERT",
        "first_name": "PAMELA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CO",
            "license": "DR0060321",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "4301061428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Gwinner
• Leah Gwinner, LPC
• Jacob Gylten, MD
• Krystin Haapala, MSOT OTRL
• Michael Paul Haas, C.R.N.A.
• Diana Mary Hackworth
• Emma Hackworth
• Scott Alan Hager
• Tameka Haines
• Tabitha Mae Hair

• Preventive Medicine/Occupational Environmental Medicine Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.