Dr Shelby Lee Margut, MD - Medicare Family Practice in Fredericksburg, PA

Dr Shelby Lee Margut, MD is a medicare enrolled "Family Medicine" physician in Fredericksburg, Pennsylvania. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Pinnacle Health Medical Services and her current practice location is 120 S. Tan St., Suite 1, Fredericksburg Community Health Center, P.c., Fredericksburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 865-6644.

Dr Shelby Lee Margut is licensed to practice in Pennsylvania (license number MD431135) 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 1720144165.

Contact Information

Dr Shelby Lee Margut, MD
120 S. Tan St., Suite 1, Fredericksburg Community Health Center, P.c.,
Fredericksburg, PA 17026-0009
(717) 865-6644
(717) 865-7321

Map and Direction




Physician's Profile

Full NameDr Shelby Lee Margut
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location120 S. Tan St., Suite 1, Fredericksburg, 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:
  • Dr Shelby Lee Margut attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2004
  NPI Data:
  • NPI Number: 1720144165
  • Provider Enumeration Date: 12/29/2006
  • Last Update Date: 01/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345349460
  • Enrollment ID: I20070629000442

Medical Identifiers

Medical identifiers for Dr Shelby Lee Margut such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720144165NPI-NPPES
1019274770001MedicaidPA
MA1969221OtherPAHIGHMARK B/S
50070907OtherPACAPITAL B/C

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD431135 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellspan Vna Home CareYork, PAHome health agency
Pinnacle Health HospitalsHarrisburg, PAHospital
Good Samaritan HospitalLebanon, PAHospital
Milton S Hershey Medical CenterHershey, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pinnacle Health Medical Services7618960493945

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. Dr Shelby Lee Margut allows following entities to bill medicare on her behalf.
Entity NamePinnacle Health Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932143427
PECOS PAC ID: 7618960493
Enrollment ID: O20040407000180

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. Dr Shelby Lee Margut 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
Dr Shelby Lee Margut, MD
120 S Tan Aly Ste 1,
Fredericksburg, PA 17026-9349

Ph: (717) 865-6644
Dr Shelby Lee Margut, MD
120 S. Tan St., Suite 1, Fredericksburg Community Health Center, P.c.,
Fredericksburg, PA 17026-0009

Ph: (717) 865-6644

Reviews and Comments


Family Medicine Doctors in Fredericksburg, PA

Dr. Doreen Edith Miller, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 120 S Tan Street, Suite 1, Fredericksburg Community Health Center Pc, Fredericksburg, PA 17026
Phone: 717-865-6644    Fax: 717-865-7321
Dr. Patricia Juma Munda, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Tan & Chestnut Streets, Fredericksburg Community Health Center Pc, Fredericksburg, PA 17026
Phone: 717-865-6644    Fax: 717-865-7321
Dr. Myron D Miller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 S. Tan St., Suite1, Fredericksburg Community Health Center, P.c., Fredericksburg, PA 17026
Phone: 717-865-6644    Fax: 717-865-7321
Dr. Carol D Sears, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 S. Tan St., Suite 1, Fredericksburg Community Health Center Pc, Fredericksburg, PA 17026
Phone: 717-865-6644    Fax: 717-865-7321

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.