Tory Jane Miksiewicz Clugston, MD - Medicare Family Practice in Blandon, PA

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Tory Jane Miksiewicz Clugston, MD is a medicare enrolled "Family Medicine" physician in Blandon, Pennsylvania. She went to Pennsylvania State University College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Schuylkill Health System Medical Group, Inc., Lehigh Valley Physician Group and her current practice location is 850 Golden Dr Ste 1, Blandon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 944-5555.

Tory Jane Miksiewicz Clugston is licensed to practice in Pennsylvania (license number MD458193) 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 1891107140.

Contact Information

Tory Jane Miksiewicz Clugston, MD
850 Golden Dr Ste 1,
Blandon, PA 19510-9657
(610) 944-5555
(610) 944-5551

Map and Direction




Physician's Profile

Full NameTory Jane Miksiewicz Clugston
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location850 Golden Dr Ste 1, Blandon, 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:
  • Tory Jane Miksiewicz Clugston attended and graduated from Pennsylvania State University College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1891107140
  • Provider Enumeration Date: 05/21/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759676901
  • Enrollment ID: I20170629000032

Medical Identifiers

Medical identifiers for Tory Jane Miksiewicz Clugston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891107140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MT206657 (Pennsylvania)Secondary
207Q00000XFamily Medicine MD458193 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home HealthWyomissing, PAHome health agency
Southeastern Home Care Services Of Pa, LlcElizabethtown, PAHome health agency
Lehigh Valley HospitalAllentown, PAHospital
Reading HospitalWest reading, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Schuylkill Health System Medical Group, Inc.084028553293
Lehigh Valley Physician Group30724251231892

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. Tory Jane Miksiewicz Clugston allows following entities to bill medicare on her behalf.
Entity NameLehigh Valley Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335
Entity NameSchuylkill Health System Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588603567
PECOS PAC ID: 0840285532
Enrollment ID: O20040420001197

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. Tory Jane Miksiewicz Clugston 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
Tory Jane Miksiewicz Clugston, MD
Po Box 783311,
Philadelphia, PA 19178-3311

Ph: (484) 884-4500		Tory Jane Miksiewicz Clugston, MD
850 Golden Dr Ste 1,
Blandon, PA 19510-9657

Ph: (610) 944-5555

Reviews and Comments


Family Medicine Doctors in Blandon, PA

Dr. Robert S Donovan, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11 Ingot Dr, Blandon, PA 19510
Phone: 610-944-8818    Fax: 610-944-7329
Timothy L Jameson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8500 Allentown Pike, Suite 1, Blandon, PA 19510
Phone: 610-926-3669    

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.