Dr Latorya Ann Ellison, MD - Medicare Family Medicine in Southgate, MI

Dr Latorya Ann Ellison, MD is a medicare enrolled "Family Medicine" physician in Southgate, Michigan. Her current practice location is 13667 Eureka Rd, Southgate, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 256-0086.

Dr Latorya Ann Ellison is licensed to practice in Michigan (license number 4351032547) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669963047.

Contact Information

Dr Latorya Ann Ellison, MD
13667 Eureka Rd,
Southgate, MI 48195-1332
(734) 256-0086
Not Available

Map and Direction




Physician's Profile

Full NameDr Latorya Ann Ellison
GenderFemale
SpecialityFamily Medicine
Location13667 Eureka Rd, Southgate, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669963047
  • Provider Enumeration Date: 05/22/2018
  • Last Update Date: 07/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476808965
  • Enrollment ID: I20220725002003

Medical Identifiers

Medical identifiers for Dr Latorya Ann Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669963047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4351032547 (Michigan)Primary

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 Latorya Ann Ellison allows following entities to bill medicare on her behalf.
Entity NameOsh-mi Physicians Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700236478
PECOS PAC ID: 7810282191
Enrollment ID: O20160825001362

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 Latorya Ann Ellison 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 AddressPractice Location Address
Dr Latorya Ann Ellison, MD
Po Box 746723,
Atlanta, GA 30374-6723

Ph: (312) 733-9730
Dr Latorya Ann Ellison, MD
13667 Eureka Rd,
Southgate, MI 48195-1332

Ph: (734) 256-0086

Reviews and Comments


Family Medicine Doctors in Southgate, MI

Dr. Manish Bolina, MD
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Practice Location: 15777 Northline Rd Ste 101, Southgate, MI 48195
Phone: 734-324-9580    
Dr. John Renaldson Orelien, MD
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Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195
Phone: 734-246-8100    
Dr. Amal Mohamed Ali Abdul-hussein,
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Practice Location: 12815 Northline Rd, Southgate, MI 48195
Phone: 734-284-2090    
Sanjukta Sridharan, M.D.
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Medicare: Medicare Enrolled
Practice Location: 15777 Northline Rd Ste 202, Southgate, MI 48195
Phone: 734-246-8100    Fax: 734-324-9527
Aaron J Blanzy, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 14319 Dix-toledo Rd, Southgate, MI 48195
Phone: 734-285-0677    Fax: 734-285-3574
Angela Moughni, DO
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Medicare: Medicare Enrolled
Practice Location: 14319 Dix Toledo Rd, Southgate, MI 48195
Phone: 734-285-0677    Fax: 734-285-3574
Christine Climie, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15777 Northline Rd, Southgate, MI 48195
Phone: 734-246-8100    

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.