Our office staff works hard to ensure patient comfort and convenience. To help you better understand our office operations, we have included the information you need about our hours, locations, appointments, insurance acceptance and billing below.
You can reach our doctors Monday thru Sunday, every day of the year, including holidays in the Sellersville office at (215) 257-2727 between 8:00 AM and 9:00 AM.
Call Hour in the Harleysville office is available Monday thru Friday from 8:00 a.m. to 9:00 a.m. at (215) 256-1999. When the office is closed, you may reach the on-call doctor for emergencies.
711 Lawn Avenue
Sellersville, PA 18960
Tel: (215) 257-2727
Fax: (215) 257-8735
|Monday:||8:15 AM - 12:00 PM | 1:30 PM - 8:00 PM|
|Tuesday:||8:15 AM - 12:00 PM | 1:30 PM - 8:00 PM|
|Wednesday:||8:15 AM - 12:00 PM | 1:30 PM - 5:00 PM *No evening hours|
|Thursday:||8:15 AM - 12:00 PM | 1:30 PM - 8:00 PM|
|Friday:||8:15 AM - 12:00 PM | 1:30 PM - 6:00 PM|
|Saturday:||Mornings - Sick/well patients seen by appointment only|
270 Main Street
Harleysville, PA 19438
Tel: (215) 256-1999
Fax: (215) 256-6130
|Monday:||8:15 AM - 12:00 PM | 1:30 PM - 5:00 PM|
|Tuesday:||8:15 AM - 12:00 PM | 1:30 PM - 5:00 PM|
|Wednesday:||8:15 AM - 12:00 PM | 1:30 PM - 8:00 PM *Note evening hours|
|Thursday:||8:15 AM - 12:00 PM | 1:30 PM - 5:00 PM|
|Friday:||8:15 AM - 12:00 PM | 1:30 PM - 5:00 PM|
Evening and Saturday Sick and Well Check Appointments
Children from both offices who need to be seen in the evenings for illness and scheduled well check appointments, are seen in the Sellersville office on Monday, Tuesday and Thursday evenings; and on Wednesday evening in the Harleysville office. Saturday morning appointments for illness and well checks are available for children normally seen in both offices in our Sellersville office only.
Evening, Weekend, Holiday Additional Charge: An additional $50 charge will be billed to your insurance company when your child is seen in the evening, on a weekend, or on a federal holiday for illness appointments. Please be advised that you may be responsible for all or part of this charge as determined by your insurance company.
Sports and Child Health Appraisal Forms: A $10 fee is charged for completion of all forms unless the child is being seen for a well check. These forms will only be completed for children who have had a good check in the past year. There will be no exceptions.
Phone Call Charge: Effective 11/1/15, incoming phone calls to PPA nurses or clinicians lasting over 5 minutes will be billed to all insurance companies. Please be advised that you may be responsible for all or part of this charge as determined by your insurance.
Canceling your appointment? Please provide us with the courtesy of 24-hours’ notice when canceling your appointment.
Antibiotics: PPA offers parents the convenience of purchasing some antibiotics through our office and these must be paid for at the time of the service. We do not accept any prescription plans.
Immunizations: When a parent consents to an immunization for a child and then changes his/her mind, the parent will be charged for the immunization if the nurse has already prepared the injection. The parent will be charged PPA’s cost for the vaccine and this charge cannot be billed to insurance.
Red Flag Rule/HIPAA: In compliance with Federal laws designed to prevent identity theft, all new patients to the practice will be required to present a valid photo ID to open an account at PPA. Parents should be prepared to show valid ID at any new patient visit. Photo ID is also required for anyone picking up any paperwork at our offices to comply with HIPAA laws.
PPA Policy Regarding Video and Audio Recordings: PPA is private property and in accordance with PA State laws, we strictly prohibit any video or audio recordings on our premises to protect the privacy of our employees, clinicians and patients.
We require 48 hours to process your referral. Please call the appropriate office’ referral line and answer the following questions:
- Patient’s name
- Date of Birth
- Name of Insurance
- Patient’s insurance ID#
- Specialist or facility referring to, phone #, and provider ID #
- Procedure to be done
- Number of visits required
- Date of visit
- Your telephone number
PA - Our Administrative staff!!
Payment and Insurance
Accepted Insurance Carriers
Insurance plans with which PPA participates:Aetna HMO, Aetna Better Health (Medicaid), Aetna PPO, Blue Shield Out of State, Blue Shield Personal Choice, AmeriHealth Administrators, Cigna PPO and Open Access Plus, Cigna (Beech Street), Devon Health Plan, Great West, Keystone Health Plan East, Independence Administrators, Medical Assistance (MA), Private Healthcare Systems, Humana Military Standard Plan (formerly Tricare PPO), United HealthCare (PPO only), and Keystone First (Medicaid effective 7/8/15).
Insurance plans with which we DO NOT participate: Aetna Better Health KIDS, Coventry Cares for Health America, First Health Network (Coventry), Health America (Coventry), Health Partners of Philadelphia, United Healthcare Community Plan, Valley Preferred, Cigna HMO plans.
Our secretaries will assist you in collecting fees, and we are happy to submit your visits to all insurances with which we participate. Specialized insurance clerks are available to help remedy any insurance claim problems. PPA will not bill to a patient's insurance company until complete billing information is provided. All charges not covered by your insurance must be paid at the time of the visit, including all co-pays.
PPA accepts cash, personal checks, Visa, MasterCard, Discover, American Express and credit/debit cards as tender for payment. Payment in full is required at each office visit unless prior arrangement has been made with the office manager or one of the doctors. All overdue balances over 60 days will be forwarded to a collection agency and a collection fee will be assessed.
Aetna HMO, Keystone Health Plan East, and Keystone Mercy Patients
- The child’s card and co-pay must be presented at every visit.
- Referrals must be requested at least 24 hours in advance during regular working hours by using the referral telephone line (215)257-6280 in Sellersville, and (215) 256-7326 in Harleysville, or ask for information at the reception desk.
Other Co-Pay Insurances: An insurance identification card must be presented at every visit. Your co-pay must be paid at every visit to avoid a $5 billing surcharge.
Sick and Well waiting rooms
In our offices, there are two waiting rooms, one for sick children and one for good children. This was done to relieve the concern of many parents that well children will be exposed to the illness of sick children. Ample exam rooms have been provided so that your stay in the waiting room should be short. A restroom is located near the nurse’s station in each hallway.