Tracy Logan Persily, DO - Medicare Family Practice in Willingboro, NJ

  1. Home
  2. Family Medicine
  3. NJ
  4. Willingboro
Tracy Logan Persily, DO is a medicare enrolled "Family Medicine" physician in Willingboro, New Jersey. She went to Rowan University School Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kennedy Medical Group Practice, P.c. and her current practice location is 200 Campbell Dr Ste 115, Willingboro, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 536-1515.

Tracy Logan Persily is licensed to practice in New Jersey (license number 25MB09743400) 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 1568804912.

Contact Information

Tracy Logan Persily, DO
200 Campbell Dr Ste 115,
Willingboro, NJ 08046-1067
(856) 536-1515
Not Available

Map and Direction




Physician's Profile

Full NameTracy Logan Persily
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location200 Campbell Dr Ste 115, Willingboro, New Jersey
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:
  • Tracy Logan Persily attended and graduated from Rowan University School Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1568804912
  • Provider Enumeration Date: 07/26/2013
  • Last Update Date: 10/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052600699
  • Enrollment ID: I20160520000449

Medical Identifiers

Medical identifiers for Tracy Logan Persily such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568804912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MB09743400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Stratford HospitalStratford, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kennedy Medical Group Practice, P.c.2860616877310

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. Tracy Logan Persily allows following entities to bill medicare on her behalf.
Entity NameKennedy Medical Group Practice, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952726796
PECOS PAC ID: 2860616877
Enrollment ID: O20140613000689

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. Tracy Logan Persily 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
Tracy Logan Persily, DO
1 Federal St Ste 200,
Camden, NJ 08103-1088

Ph: (848) 288-6935		Tracy Logan Persily, DO
200 Campbell Dr Ste 115,
Willingboro, NJ 08046-1067

Ph: (856) 536-1515

Reviews and Comments


Family Medicine Doctors in Willingboro, NJ

Dr. Marvin A. Weinar, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 200 Campbell Dr, Suite 102, Willingboro, NJ 08046
Phone: 609-877-4545    Fax: 609-877-5129
Dr. Christopher Salerno, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Campbell Dr Ste 115, Willingboro, NJ 08046
Phone: 856-536-1515    
Dr. Camelia Sidonia Vitoc, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 218 Sunset Rd Fl 5, Willingboro, NJ 08046
Phone: 609-444-0599    
Dr. Larisa Rozenberg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Campbell Dr Ste 200, Willingboro, NJ 08046
Phone: 856-536-1515    
Laurie Y Nemeth, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Campbell Dr Ste 115, Willingboro, NJ 08046
Phone: 856-536-1515    
Lisa Ann Medvetz, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046
Phone: 609-835-5821    Fax: 609-835-5827

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.