Residentialist Housecall Med Grp, Pc A Pennsylvania Corp - Medicare Primary Care in Philadelphia, PA

Residentialist Housecall Med Grp, Pc A Pennsylvania Corp is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Philadelphia, Pennsylvania. The current practice location for Residentialist Housecall Med Grp, Pc A Pennsylvania Corp is 4190 City Ave, Pcom - Rowland Hall, Room 528, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (949) 366-1053. The mailing address for Residentialist Housecall Med Grp, Pc A Pennsylvania Corp is 23181 Verdugo Dr, Suite 103a, Laguna Hills, California and phone number is (949) 366-1053.

Residentialist Housecall Med Grp, Pc A Pennsylvania Corp is licensed to practice in Pennsylvania (license number OS017618). The clinic also participates in the medicare program and its NPI number is 1104205400. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (949) 366-1053.

Contact Information

Residentialist Housecall Med Grp, Pc A Pennsylvania Corp
4190 City Ave
Pcom - Rowland Hall, Room 528
Philadelphia
PA 19131-1626
(949) 366-1053
(949) 544-7880

Map and Direction


Primary Care Clinic Profile

Full NameResidentialist Housecall Med Grp, Pc A Pennsylvania Corp
SpecialityFamily Medicine
Location4190 City Ave, Philadelphia, Pennsylvania
Authorized Official Name and PositionNorman Edward Vinn (CEO, CFO, AND SECRETARY)
Authorized Official Contact9493661053
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Residentialist Housecall Med Grp, Pc A Pennsylvania Corp
23181 Verdugo Dr
Suite 103a
Laguna Hills
CA 92653-1357

Ph: (949) 366-1053
Residentialist Housecall Med Grp, Pc A Pennsylvania Corp
4190 City Ave
Pcom - Rowland Hall, Room 528
Philadelphia
PA 19131-1626

Ph: (949) 366-1053

NPI Details:

NPI Number1104205400
Provider Enumeration Date05/20/2015
Last Update Date06/19/2015

Medicare PECOS Information:

Medicare PECOS PAC ID7416263199
Medicare Enrollment IDO20150825005345

Medical Identifiers

Medical identifiers for Residentialist Housecall Med Grp, Pc A Pennsylvania Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104205400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine OS017618 (Pennsylvania)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Residentialist Housecall Med Grp, Pc A Pennsylvania Corp acts as a billing entity for following providers:
Provider NameKatherine Galluzzi
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1336140979
PECOS PAC ID: 9537063896
Enrollment ID: I20031120000095
Provider NameMichael Ernest Srulevich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275670655
PECOS PAC ID: 4486698602
Enrollment ID: I20050617000356
Provider NameJeffrey J Maron
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295775963
PECOS PAC ID: 0446266308
Enrollment ID: I20060301000575
Provider NameNicol Eudora Joseph
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568494029
PECOS PAC ID: 1052316874
Enrollment ID: I20060928000349
Provider NameRoxanne M Sides
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174708218
PECOS PAC ID: 7911086186
Enrollment ID: I20080430000262
Provider NameDawn M Culbreath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316298219
PECOS PAC ID: 4486806684
Enrollment ID: I20121217000254
Provider NameMarie C Metz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851703508
PECOS PAC ID: 5597088401
Enrollment ID: I20141230000700
Provider NameNorman Edward Vinn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568417525
PECOS PAC ID: 5991781643
Enrollment ID: I20150825005488
Provider NameRyan B Sholinsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922544923
PECOS PAC ID: 3173807138
Enrollment ID: I20170313000309
Provider NameTynisha Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760908123
PECOS PAC ID: 3577839257
Enrollment ID: I20171024003383
Provider NameDana P Ridley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699273615
PECOS PAC ID: 3476899014
Enrollment ID: I20190117003717
Provider NameMaudeline Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720749674
PECOS PAC ID: 6103210919
Enrollment ID: I20220221001593

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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.