Bringing medical care to you. Where you are.

We make house call visits to our Clinic Members at home or wherever you need care.

House Calls Direct is an extension of MainStreet Direct Primary Care Clinic Membership, featuring year-round care management under the guidance of a primary care physician. When you feel like seeing us in the Clinic, we’ll see you there. Your choice.

House Calls Direct Membership Fee: $149 per month

Proximity discount is available at $129 per month in select senior living locations.

For more information or to enroll:
Call 580.248.9966

Medical House Calls

Who we are.

Internist Brian Birdwell, MD, and Mary Anne Derrico, CNP, bring over 70 years of care experience to you: house calls, the old fashioned way.

Our House Calls Direct medical services are backed by the entire Care Team at MainStreet Clinic.

Gabi, Diedra, and Kelly provide back-office and clinical support for all House Call members and their families:

  • Coordination with the staff at senior living locations
  • Answering membership questions and onboarding new members
  • Family support
  • Specialist referrals and coordination
  • Arranging for home health, wound care, durable medical equipment (DME), and other needs
Mary Anne Derrico CNA

Mary Anne Derrico, CNP

Brian Birdwell MD

Brian Birdwell, MD

Big Medicine

The problem.

Big Medicine in the U.S., powered by Big Insurance, delivers great care options for acute medical problems. Emergency care, the intensive care unit (ICU), surgery, advanced diagnostics: these settings save lives every day.

Primary care, and in particular long-term care management for seniors, is a personalized care setting. When Big Medicine and Big Insurance began integrating primary care into HMO and PPO insurance networks back in the 1980s, that led to unintended consequences:

  • Primary care doctors must now hold more patient charts in their census
  • They are required to see 20 or more patients every day
  • The time with each patient has shrunk to 15 minutes or less
  • Coordination of care is now relegated to corporate management, not a local care team in your clinic

Direct Primary Care Clinic Membership offers a pricing model that powers the ideal care model for long-term senior care management: personalized care with a comprehensive, local care team.

Our care team solution.

House Calls Direct brings together a unique Care Team to provide the exact care program that each member needs:

  • Expert care for all medical problems
  • Medication management and regular, careful review of all your prescribed medications
  • HIPAA-compliant communication with you, your family, your specialists, home health nurses and therapists
  • Scheduled wellness visits and availability for urgent situations, also
  • Option to come to MainStreet Clinic for office visits with Dr. Birdwell or Mary Anne Derrico, no additional charge

Following a comprehensive assessment, the care team leader and primary care physician assemble your Care Team that may consist of visiting nurse, respiratory or other technicians, social worker, or durable medical equipment provider.

We are geriatric care-focused, experienced with complex and chronic disease care, and committed to reducing unwanted visits to the ER or hospitalizations.

It’s our mission to keep you at home and comfortable.

House Calls by MainStreet Clinic

For more information or to enroll:
Call 580.248.9966