John C Sheffield, MD - Medicare Family Practice in West Reading, PA

John C Sheffield, MD is a medicare enrolled "Family Medicine" physician in West Reading, Pennsylvania. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Reading Hospital and his current practice location is 6th Avenue And Spruce St, West Reading, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 628-8000.

John C Sheffield is licensed to practice in Pennsylvania (license number MD056810L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801811351.

Contact Information

John C Sheffield, MD
6th Avenue And Spruce St,
West Reading, PA 19611-1428
(484) 628-8000
Not Available

Map and Direction




Physician's Profile

Full NameJohn C Sheffield
GenderMale
SpecialityFamily Practice
Experience31 Years
Location6th Avenue And Spruce St, West Reading, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John C Sheffield attended and graduated from Virginia Commonwealth University, School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1801811351
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 06/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7315978012
  • Enrollment ID: I20050823000984

Medical Identifiers

Medical identifiers for John C Sheffield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801811351NPI-NPPES
001656442MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD056810L (Pennsylvania)Primary
207V00000XObstetrics & Gynecology MD056810L (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Reading HospitalWest reading, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reading Hospital7618886490133

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. John C Sheffield allows following entities to bill medicare on his behalf.
Entity NameReading Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194883306
PECOS PAC ID: 7618886490
Enrollment ID: O20031126000129

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. John C Sheffield 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
John C Sheffield, MD
Po Box 13579,
Reading, PA 19612-3579

Ph: (484) 628-0799
John C Sheffield, MD
6th Avenue And Spruce St,
West Reading, PA 19611-1428

Ph: (484) 628-8000

Reviews and Comments


Family Medicine Doctors in West Reading, PA

Aqsaa Chaudhry,
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Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8000    
Jacqueline Storer, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8855    Fax: 484-628-5064
Kyra Valent,
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Practice Location: 420 S 5th Ave, West Reading, PA 19611
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Arthur Gross Jr., DO
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Medicare: May Accept Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8198    Fax: 484-628-8390
Nancy Olinger,
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Medicare: Accepting Medicare Assignments
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 494-628-3637    
Liane Conte, DO
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Medicare: Medicare Enrolled
Practice Location: 420 S 5th Ave, West Reading, PA 19611
Phone: 484-628-8855    Fax: 484-628-5064
Lee Radosh, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 301 S 7th Ave, Suite 200, West Reading, PA 19611
Phone: 610-988-8198    

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.