Insurance Information

We accept Medicare assignment of benefits for standard Medicare & supplemental Medicare. We also accept most medical insurance plans including many managed HMO’s and PPO’s. Contact your insurance carrier to verify our participation with your plan or see below the list of accepted insurance plans. We file most insurance claims on behalf of the patient for both primary and secondary insurance. If your plan requires a co-pay, we will collect it at the time of service. We accept cash, personal checks, and credit cards.

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

Referral Information

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.



Accepted Insurances

AARP (Secondary to Medicare)
Aetna HMO / POS / PPO / Medicare Plans
    Leap Plans Tier 1 (aka Savings Plus)
    Meritain Health
Alliance Auto & Workmen’s Comp (Only PREOP CLEARANCE OR FOLLOW-UP FROM HOSPITAL)
Alliance PPO
AmeriHealth/Amerihealth NJ
    Local Value (NJ Only Tier II Advantage)
    Regional
Blue Cross/Blue Shield
Cigna
Cigna Healthspring (Formally Bravo)
CorVel
Coventry/Health America
Devon
First Health
Galaxy Health Network
Geisinger Gold
Horizon Blue Cross/Blue Shield (ALL PLANS)
    Horizon Omnia Tier II
    Horizon Medicare Plans
Humana HMO/POS/PPO and Medicare Plans
Independence Administrators
Intergroup
Keystone First   Pennsylvania Only
Keystone First VIP   Pennsylvania Only
Keystone Health Plan East
    Gold, Silver, Bronze Tier III
    Keystone 65 (ALL PLANS)
Medicaid
Medicare
MultiPlan
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)
PHCS
Prime Health
Qualcare HMO/POS/PPO
Railroad Medicare
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)

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