TSILINA GRINBERG PA-C
NPI 1316977481
Physician Assistant - Medical in Doylestown, PA

NPI Status: Active since July 04, 2006

Contact Information

599 W STATE ST
SUITE 200
DOYLESTOWN, PA
ZIP 18901
Phone: (267) 893-6800
Fax: (267) 893-6820

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  • Individual
  • Female
  • Years of Experience 27
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TSILINA GRINBERG

This page provides the complete NPI Profile along with additional information for Tsilina Grinberg, a primary care provider established in Doylestown, Pennsylvania with a medical specialization in Physician Assistant, focusing in medical and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1316977481 assigned on July 2006. The practitioner's primary taxonomy code is 363AM0700X with license number MA003183L (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1316977481
Provider Name
TSILINA GRINBERG PA-C
Gender
Female
Entity Type
Individual
Location Address
599 W STATE ST SUITE 200 DOYLESTOWN, PA 18901
Location Phone
(267) 893-6800
Location Fax
(267) 893-6820
Mailing Address
PO BOX 829641 PHILADELPHIA, PA 19182
Mailing Phone
(267) 370-5296
Mailing Fax
(267) 893-6820
Medical School Name
OTHER
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
07-04-2006
Last Update Date
06-23-2023
Code Navigator

A primary care provider (PCP) like Tsilina Grinberg sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 599 W State St Ste 207
    Doylestown, PA 18901
    (215) 345-2100

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
MA003183L
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Tsilina Grinberg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tsilina Grinberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183523848

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040102000214

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for TSILINA GRINBERG PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316977481, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 7 + 1 + 4 + 4 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1316977481.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
599 W STATE ST, STE 200
DOYLESTOWN, PA 18901
Specialist
599 W STATE ST, STE 200
DOYLESTOWN, PA 18901
Surgery
599 W STATE ST, SUITE 301
DOYLESTOWN, PA 18901
Surgery
599 W STATE ST, SUITE 301
DOYLESTOWN, PA 18901
Internal Medicine (Cardiovascular Disease)
599 W STATE ST, SUITE 200
DOYLESTOWN, PA 18901
Surgery
599 W STATE ST, SUITE 301
DOYLESTOWN, PA 18901
Specialist
599 W STATE ST, SUITE 100
DOYLESTOWN, PA 18901
Specialist
599 W STATE ST, SUITE 100
DOYLESTOWN, PA 18901
Specialist
599 W STATE ST, SUITE 100
DOYLESTOWN, PA 18901
Internal Medicine
599 W STATE ST, STE 203
DOYLESTOWN, PA 18901
Specialist
599 W STATE ST, SUITE 100
DOYLESTOWN, PA 18901
Obstetrics & Gynecology
599 W STATE ST, SUITE 301
DOYLESTOWN, PA 18901
Internal Medicine (Infectious Disease)
599 W STATE ST, SUITE 215
DOYLESTOWN, PA 18901
Otolaryngology
599 W STATE ST, SUITE 201
DOYLESTOWN, PA 18901
Internal Medicine
599 W STATE ST, SUITE 200
DOYLESTOWN, PA 18901
Internal Medicine (Cardiovascular Disease)
599 W STATE ST, SUITE 200
DOYLESTOWN, PA 18901
Audiologist
599 W STATE ST, THE PAVILION, SUITE 201
DOYLESTOWN, PA 18901
Durable Medical Equipment & Medical Supplies
599 W STATE ST
DOYLESTOWN, PA 18901
Internal Medicine (Infectious Disease)
599 W STATE ST, SUITE 215
DOYLESTOWN, PA 18901
Specialist
599 W STATE ST, SUITE 305
DOYLESTOWN, PA 18901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316977481, enumerated as an "individual" on July 04, 2006.

The provider is located at 599 W STATE ST SUITE 200 DOYLESTOWN, PA 18901 and the phone number is (267) 893-6800.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.