Dr Tanaya Celise Porter, DDS in Lathrup Village, MI

Dr Tanaya Celise Porter, DDS is a medicare enrolled "Dentist - General Practice" provider in Lathrup Village, Michigan. She went to Meharry Medical College School Of Dentistry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Oral Surgery. She is a member of the group practice Henry Ford Medical Group and her current practice location is 18181 W 12 Mile Rd, Lathrup Village, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 804-1463.

Dr Tanaya Celise Porter is licensed to practice in Michigan (license number 2901021136) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679829659.

Contact Information

	Dr Tanaya Celise Porter, DDS
	18181 W 12 Mile Rd, Lathrup Village, MI 48076-2666
	(313) 804-1463
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tanaya Celise Porter
Gender	Female
Speciality	Oral Surgery
Experience	13 Years
Location	18181 W 12 Mile Rd, Lathrup Village, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tanaya Celise Porter attended and graduated from Meharry Medical College School Of Dentistry in 2011

NPI Data:

NPI Number: 1679829659
Provider Enumeration Date: 07/27/2012
Last Update Date: 08/04/2014

Medicare PECOS Information:

PECOS PAC ID: 9931401536
Enrollment ID: I20220317000902

Medical Identifiers

Medical identifiers for Dr Tanaya Celise Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679829659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2901021136 (Michigan)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Dr Tanaya Celise Porter allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801970124 PECOS PAC ID: 0547178311 Enrollment ID: O20041129000860

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. Dr Tanaya Celise Porter 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
Dr Tanaya Celise Porter, DDS 28551 Cullen Drive, Romulus, MI 48174 Ph: (313) 804-1463	Dr Tanaya Celise Porter, DDS 18181 W 12 Mile Rd, Lathrup Village, MI 48076-2666 Ph: (313) 804-1463

Reviews and Comments

Dentist in Lathrup Village, MI

Michael Haddow, D.D.S.,M.S.D. Dentist Medicare: Medicare Enrolled Practice Location: 28625 Southfield Rd, Lathrup Village, MI 48076 Phone: 248-569-2056 Fax: 248-569-8987
Dr. Neam Asaad, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18181 W 12 Mile Rd, Lathrup Village, MI 48076 Phone: 248-849-9310
Susan Rizk, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 17550 W 11 Mile Rd, Lathrup Village, MI 48076 Phone: 248-565-3331
Dr. Jordan Rabban, Dentist Medicare: Not Enrolled in Medicare Practice Location: 18181 W 12 Mile Rd, Lathrup Village, MI 48076 Phone: 248-557-5756
Dr. Pauline Jiddou, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 18181 W 12 Mile Rd, Suite 4, Lathrup Village, MI 48076 Phone: 248-557-5756
Marian Hannah Ibrahim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19189 W 12 Mile Rd, Lathrup Village, MI 48076 Phone: 248-855-1855
Dr. Jeffrey M Solomon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 18181 W 12 Mile Rd, Suite 4, Lathrup Village, MI 48076 Phone: 248-557-5756

Dr Tanaya Celise Porter, DDS - Medicare Dentist in Lathrup Village, MI