Tracey Marie Shivok-jefferson, NP-C - Medicare Nurse Practitioner in Easton, PA

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Tracey Marie Shivok-jefferson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Easton, Pennsylvania. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Meditelecare Of Pennsylvania Llc and her current practice location is 2125 Fairview Ave, Easton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 419-0123.

Tracey Marie Shivok-jefferson is licensed to practice in Pennsylvania (license number SP011299) 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 1053699025.

Contact Information

Tracey Marie Shivok-jefferson, NP-C
2125 Fairview Ave,
Easton, PA 18042-3813
(610) 419-0123
Not Available

Map and Direction




Provider's Profile

Full NameTracey Marie Shivok-jefferson
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location2125 Fairview Ave, Easton, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tracey Marie Shivok-jefferson graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1053699025
  • Provider Enumeration Date: 07/25/2011
  • Last Update Date: 07/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1557528957
  • Enrollment ID: I20120213000273

Medical Identifiers

Medical identifiers for Tracey Marie Shivok-jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053699025NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP011299 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pennsburg ManorPennsburg, PANursing home
Promedica Skilled Nrsg And Rehab (bedford)Bedford, PANursing home
Laurel Ridge CenterUniontown, PANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Meditelecare Of Pennsylvania Llc852748803028

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. Tracey Marie Shivok-jefferson allows following entities to bill medicare on her behalf.
Entity NameSacred Heart Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740241421
PECOS PAC ID: 4082528161
Enrollment ID: O20031113000348
Entity NameMedop Behavioral Health Associates Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740516293
PECOS PAC ID: 9032252416
Enrollment ID: O20100208000144
Entity NameVisiting Doctors Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285289876
PECOS PAC ID: 0840520516
Enrollment ID: O20190923002016
Entity NameMeditelecare Of Pennsylvania Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396351847
PECOS PAC ID: 8527488030
Enrollment ID: O20201022002321

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. Tracey Marie Shivok-jefferson 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 AddressPractice Location Address
Tracey Marie Shivok-jefferson, NP-C
3195 Glendon Rd,
Bethlehem, PA 18017-1713

Ph: (610) 419-0123		Tracey Marie Shivok-jefferson, NP-C
2125 Fairview Ave,
Easton, PA 18042-3813

Ph: (610) 419-0123

Reviews and Comments


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Phone: 484-526-6643    Fax: 484-526-4658

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.