If you have insurance with a plan that is accepted by us, you will be responsible for all applicable co-pays, co-insurance annual deductibles and any non-covered services. Please understand that we cannot waive any patient balances. All co-pays are due at the time of service.
In the event you have an insurance plan that we do not accept, you will be responsible for payment of all charges not paid by your plan. Most insurance plans refer to this as going “out-of-network". Some plans have out of network benefits which would provide coverage to an out of network provider.
Please verify with your insurance company that our services are covered by contacting them and providing the Name, Tax ID and Group ID for your state that is listed below.
If you have any questions please give your local office a call.
Provider and Tax ID Numbers
NJ Name: Mercer Bucks Cardiology at Jefferson NJ
NJ NPI (Group): 1649636754
NJ Tax ID: 22-3537847
PA Name: Mercer Bucks Cardiology at Jefferson
PA NPI (Group): 1265932362
PA Tax ID: 23-2678055
For New Jersey, referrals should be made out to
Mercer Bucks Cardiology at Jefferson New Jersey.
For Pennsylvania, referrals should be made out to
Mercer Bucks Cardiology at Jefferson.
|AARP (Secondary to Medicare)
Aetna HMO / POS / PPO / Medicare Plans
Leap Plans Tier 1 (aka Savings Plus)
Alliance Auto & Workmen’s Comp (Only PREOP CLEARANCE OR FOLLOW-UP FROM HOSPITAL)
Local Value (NJ Only Tier II Advantage)
Blue Cross/Blue Shield
Cigna Healthspring (Formally Bravo)
Galaxy Health Network
Horizon Blue Cross/Blue Shield (ALL PLANS)
Horizon Omnia Tier II
Horizon Medicare Plans
Humana HMO/POS/PPO and Medicare Plans
|Keystone First Pennsylvania Only
Keystone First VIP Pennsylvania Only
Keystone Health Plan East
Gold, Silver, Bronze Tier III
Keystone 65 (ALL PLANS)
Oxford Plans - PA Only (Only if back of card states CHOICE PLUS NETWORK)
Personal Choice/Personal Choice 65 )TIER III or PPO Network for SMMC EMPLOYEES)
Sunrise Advantage (medicare Adv)
TriCare / ChampVA (Effective 1/2018 called Tricare East)
United Healthcare Commercial Plans (NON Medicare)
US Family Health
Workmen's Comp Carriers (Only PREOP CLEARANCE OR FOLLOW-UP TO HOSPITAL)