American Indian Health And Family Services Of Southeastern Mi Inc - Medicare Primary Care in Detroit, MI

American Indian Health And Family Services Of Southeastern Mi Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Detroit, Michigan. The current practice location for American Indian Health And Family Services Of Southeastern Mi Inc is 4880 Lawndalestreet, Detroit, Michigan. For appointments, you can reach them via phone at (313) 846-3718. The mailing address for American Indian Health And Family Services Of Southeastern Mi Inc is Po Box 810, Dearborn, Michigan and phone number is (313) 846-3718.

American Indian Health And Family Services Of Southeastern Mi Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366552804. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (313) 846-3718.

Contact Information

American Indian Health And Family Services Of Southeastern Mi Inc
4880 Lawndalestreet
Detroit
MI 48210
(313) 846-3718
(313) 846-0150

Map and Direction


Primary Care Clinic Profile

Full NameAmerican Indian Health And Family Services Of Southeastern Mi Inc
SpecialityClinic/Center
Location4880 Lawndalestreet, Detroit, Michigan
Authorized Official Name and PositionWaneta Assaf (DIRECTOR OF FINANCE)
Authorized Official Contact3138463718
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
American Indian Health And Family Services Of Southeastern Mi Inc
Po Box 810
Dearborn
MI 48121

Ph: (313) 846-3718
American Indian Health And Family Services Of Southeastern Mi Inc
4880 Lawndalestreet
Detroit
MI 48210

Ph: (313) 846-3718

NPI Details:

NPI Number1366552804
Provider Enumeration Date08/30/2006
Last Update Date04/21/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4587631429
Medicare Enrollment IDO20040910001248

Medical Identifiers

Medical identifiers for American Indian Health And Family Services Of Southeastern Mi Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366552804NPI-NPPES
0H21011OtherMIBCBSM PIN/FACILITY CODE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
253Z00000XIn Home Supportive Care (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. American Indian Health And Family Services Of Southeastern Mi Inc acts as a billing entity for following providers:
Provider NameJosette Marie French
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194790071
PECOS PAC ID: 6800864869
Enrollment ID: I20040917001204
Provider NameAlice M Kachman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750323432
PECOS PAC ID: 6103829379
Enrollment ID: I20060809000328
Provider NameDavid G Garcia
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376756221
PECOS PAC ID: 4880831445
Enrollment ID: I20130520000319
Provider NameMary A Bernier
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720357791
PECOS PAC ID: 4183919038
Enrollment ID: I20160817001328
Provider NameSteven Ware
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063877652
PECOS PAC ID: 3678816725
Enrollment ID: I20190514000367
Provider NameMelissa Chivis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902215445
PECOS PAC ID: 6800128422
Enrollment ID: I20191031003097
Provider NameShaylice M Meserole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912372350
PECOS PAC ID: 9032409057
Enrollment ID: I20200804001665
Provider NameVioleta Donawa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851865372
PECOS PAC ID: 0648665984
Enrollment ID: I20220323000482
Provider NameJesse L Klebba
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1861804577
PECOS PAC ID: 0547572455
Enrollment ID: I20220328000175
Provider NameAlicia Steele
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679133227
PECOS PAC ID: 6507238581
Enrollment ID: I20230221002277
Provider NameShalynn Marie Rangel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710617311
PECOS PAC ID: 0446610638
Enrollment ID: I20230719003618
Provider NameKimberly Taylor
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1528346707
PECOS PAC ID: 9537414081
Enrollment ID: I20240123001603

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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.