Latasha Keller, in Detroit, MI - Medicare Advanced Practice Midwife

Latasha Keller, is a medicare enrolled "Advanced Practice Midwife" in Detroit, Michigan. Her current practice location is 111 W 7 Mile Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 369-2600.

Latasha Keller is licensed to practice in Michigan (license number 4704309517) 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 1023886751.

Contact Information

	Latasha Keller,
	111 W 7 Mile Rd, Detroit, MI 48203-1968
	(313) 369-2600
	Not Available

Map and Direction

Provider's Profile

Full Name	Latasha Keller
Gender	Female
Speciality	Advanced Practice Midwife
Location	111 W 7 Mile Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023886751
Provider Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4183068901
Enrollment ID: I20240221000264

Medical Identifiers

Medical identifiers for Latasha Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023886751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	4704309517 (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. Latasha Keller allows following entities to bill medicare on her behalf.

Entity Name	Detroit Community Health Connection, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982611562 PECOS PAC ID: 9234021148 Enrollment ID: O20040326000067

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. Latasha Keller 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
Latasha Keller, 24463 Millstream, Novi, MI 48375-2971 Ph: () -	Latasha Keller, 111 W 7 Mile Rd, Detroit, MI 48203-1968 Ph: (313) 369-2600

Reviews and Comments

Advanced Practice Midwife Nurses in Detroit, MI

Asia Joyner, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3031 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 Fax: 313-916-7437
Rebecca Catherine Harris, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, Suite 4c, Detroit, MI 48201 Phone: 313-745-4525 Fax: 313-745-4399
Julie Mckinley, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500
Sara Gilbertson Mertz, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2799 West Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 Phone: 313-953-9446
Aimee Nicole Smith, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Cassandra Alyssa Tavtigian, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 5557 Cass Ave, Detroit, MI 48202 Phone: 313-577-4082

Latasha Keller, - Medicare Advanced Practice Midwife in Detroit, MI