Sally Jo Ferguson-avery, MD is a medicare enrolled "Internal Medicine" physician in Shamokin Dam, Pennsylvania. She went to Mercer University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Family Practice Center Pc and her current practice location is
3057 N Susquehanna Trl, Shamokin Dam, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 743-1112.
Sally Jo Ferguson-avery is licensed to practice in Pennsylvania (license number MD423495) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508805615.
Physician's Profile
| Full Name | Sally Jo Ferguson-avery |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 23 Years |
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| Location | 3057 N Susquehanna Trl, Shamokin Dam, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sally Jo Ferguson-avery attended and graduated from Mercer University School Of Medicine in 2001
NPI Data:
- NPI Number: 1508805615
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 04/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 3971588393
- Enrollment ID: I20040621001096
Medical Identifiers
Medical identifiers for Sally Jo Ferguson-avery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508805615 | NPI | - | NPPES |
| 1009301640002 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | MD423495 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | MD423495 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Practice Center Pc | 0244124212 | 265 |
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. Sally Jo Ferguson-avery allows following entities to bill medicare on her behalf.
| Entity Name | Family Practice Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154376937
PECOS PAC ID: 0244124212
Enrollment ID: O20040211000012 |
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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. Sally Jo Ferguson-avery 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 |
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Sally Jo Ferguson-avery, MD
7 Dock Hill Rd,
Middleburg, PA 17842-8910
Ph: (570) 837-2123 | Sally Jo Ferguson-avery, MD
3057 N Susquehanna Trl,
Shamokin Dam, PA 17876-9114
Ph: (570) 743-1112 |
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