Philip Stanley Vendittelli, DO in Roseville, MI

Philip Stanley Vendittelli, DO is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Roseville, Michigan. His current practice location is 18303 E 10 Mile Rd Ste 100, Roseville, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 776-8877.

Philip Stanley Vendittelli is licensed to practice in Michigan (license number 5315204612) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871949925.

Contact Information

	Philip Stanley Vendittelli, DO
	18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989
	(586) 776-8877
	(586) 776-3092

Map and Direction

Physician's Profile

Full Name	Philip Stanley Vendittelli
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	18303 E 10 Mile Rd Ste 100, Roseville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871949925
Provider Enumeration Date: 05/08/2016
Last Update Date: 06/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2567754575
Enrollment ID: I20230616003103

Medical Identifiers

Medical identifiers for Philip Stanley Vendittelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871949925	NPI	-	NPPES
5101024546	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5101022293 (Michigan)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	51024546 (Michigan)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	5315204612 (Michigan)	Primary

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. Philip Stanley Vendittelli allows following entities to bill medicare on his behalf.

Entity Name	Cardiovascular Institute Of Michigan, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154350890 PECOS PAC ID: 1052380219 Enrollment ID: O20040925000103

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. Philip Stanley Vendittelli 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 Address	Practice Location Address
Philip Stanley Vendittelli, DO 22101 Moross Rd Fl 2, Detroit, MI 48236-2148 Ph: (313) 343-4612	Philip Stanley Vendittelli, DO 18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989 Ph: (586) 776-8877

Reviews and Comments

Internal Medicine Doctors in Roseville, MI

Robert Lewis Marchese, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25810 Kelly Rd, Suite 3, Roseville, MI 48066 Phone: 586-777-9724 Fax: 586-777-9725
Benjamin O Osowa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite E, Roseville, MI 48066 Phone: 586-552-8696 Fax: 586-552-4404
Dr. Majid Alzagoum, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092
Dr. Wahed Ishaqsei, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066 Phone: 586-778-4950 Fax: 586-778-4952
Dr. Mohamad K. Ajjour, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092
Dr. Ameer Abdulrazzak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18001 E 10 Mile, Suite 1, Roseville, MI 48066 Phone: 586-218-5800 Fax: 586-218-5808
Dr. Madjid Mesgarzadeh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25910 Kelly Rd, Suite B, Roseville, MI 48066 Phone: 586-772-3366 Fax: 586-772-3355

Philip Stanley Vendittelli, DO - Medicare Internal Medicine in Roseville, MI