Sally Jo Ferguson-avery, MD - Medicare Internal Medicine in Shamokin Dam, PA

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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.

Contact Information

Sally Jo Ferguson-avery, MD
3057 N Susquehanna Trl,
Shamokin Dam, PA 17876-9114
(570) 743-1112
(570) 743-1114

Map and Direction




Physician's Profile

Full NameSally Jo Ferguson-avery
GenderFemale
SpecialityInternal Medicine
Experience23 Years
Location3057 N Susquehanna Trl, Shamokin Dam, 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:
  • 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.
IdentifierTypeStateIssuer
1508805615NPI-NPPES
1009301640002MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD423495 (Pennsylvania)Secondary
207R00000XInternal Medicine MD423495 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Residential Home Health Of Nc Pa, LlcWilliamsport, PAHome health agency
Evangelical Community HospitalLewisburg, PAHospital
Geisinger Medical CenterDanville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Practice Center Pc0244124212280

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 NameFamily Practice Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154376937
PECOS PAC ID: 0244124212
Enrollment ID: O20040211000012

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 AddressPractice Location Address
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

Reviews and Comments


Internal Medicine Doctors in Shamokin Dam, PA

Mohammad Abdul Samad, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 99 Baldwin Blvd, Shamokin Dam, PA 17876
Phone: 570-743-7657    Fax: 570-743-0047

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.