Devoted Medical P.c. - Medicare Primary Care in Philadelphia, PA

Devoted Medical P.c. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Philadelphia, Pennsylvania. The current practice location for Devoted Medical P.c. is 100 S Juniper St Fl 3, Philadelphia, Pennsylvania. For appointments, you can reach them via phone at (866) 849-0692. The mailing address for Devoted Medical P.c. is Po Box 211699, Eagan, Minnesota and phone number is (866) 849-0692.

Devoted Medical P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114642683. 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 (866) 849-0692.

Contact Information

Devoted Medical P.c.
100 S Juniper St Fl 3
Philadelphia
PA 19107-1316
(866) 849-0692
(888) 973-8821

Map and Direction


Primary Care Clinic Profile

Full NameDevoted Medical P.c.
SpecialityClinic/Center
Location100 S Juniper St Fl 3, Philadelphia, Pennsylvania
Authorized Official Name and PositionAracely Courtney (PRACTICE MANAGEMENT)
Authorized Official Contact8668490692
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Devoted Medical P.c.
Po Box 211699
Eagan
MN 55121-3699

Ph: (866) 849-0692
Devoted Medical P.c.
100 S Juniper St Fl 3
Philadelphia
PA 19107-1316

Ph: (866) 849-0692

NPI Details:

NPI Number1114642683
Provider Enumeration Date10/07/2022
Last Update Date01/05/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6608249743
Medicare Enrollment IDO20230310000903

Medical Identifiers

Medical identifiers for Devoted Medical P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114642683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Devoted Medical P.c. acts as a billing entity for following providers:
Provider NameMatthew D Mendillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467090415
PECOS PAC ID: 8123459773
Enrollment ID: I20200514001285
Provider NameStephanie Trembulak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548702806
PECOS PAC ID: 1951725233
Enrollment ID: I20200701001299
Provider NameKalee Linda Gresko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780357293
PECOS PAC ID: 9032507082
Enrollment ID: I20211025003257
Provider NameRobert Glass
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497049571
PECOS PAC ID: 5991922999
Enrollment ID: I20230824001123
Provider NameKendra Hurst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780156844
PECOS PAC ID: 3870839491
Enrollment ID: I20240402000353
Provider NameSara Modeste
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881785426
PECOS PAC ID: 8224298112
Enrollment ID: I20240419000074
Provider NameMiranda Caccamise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831539436
PECOS PAC ID: 3476782095
Enrollment ID: I20240425001434
Provider NameDaniel Horn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780903971
PECOS PAC ID: 8224277991
Enrollment ID: I20240510003395
Provider NameAndrew Sumarsono
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750822094
PECOS PAC ID: 3577980564
Enrollment ID: I20240513002173
Provider NameMeghan Mcgrath
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689883134
PECOS PAC ID: 9638261241
Enrollment ID: I20240514000341
Provider NameAlec Petersen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013370568
PECOS PAC ID: 1153618186
Enrollment ID: I20240520001725
Provider NameTrisha Np Khalilieh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922547439
PECOS PAC ID: 1052695665
Enrollment ID: I20240522003226
Provider NameSusana Guzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871963769
PECOS PAC ID: 5698061448
Enrollment ID: I20240523003184
Provider NameCarolyn Mcelhinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326358425
PECOS PAC ID: 3870772908
Enrollment ID: I20240610001748
Provider NameJocelyn Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215288360
PECOS PAC ID: 6507167392
Enrollment ID: I20240613004625

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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.